IndividualActive
Mia Korum, ATC
NPI 1164054797 · Kinesiotherapist · Scottsdale, AZ
Provider details
- NPI number
- 1164054797
- Entity type
- Individual
- Primary specialty
- KinesiotherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- ATR-009143 (AZ)
Practice location
7355 E Thompson Peak Pkwy Apt V3008
Scottsdale, AZ 85255-4479
Phone: (253) 432-1645
Mailing address
7355 E Thompson Peak Pkwy Apt V3008
Scottsdale, AZ 85255-4479
Registry dates
- Enumerated
- 2020-02-11
- Last updated
- 2020-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.