OrganizationActive
Ahwatukee Sports and Spine PLC
NPI 1487610218 · Physical Medicine & Rehabilitation Physician · Phoenix, AZ
Provider details
- NPI number
- 1487610218
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Kozak, President(480) 763-5808
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4530 East Muirwood Drive
Ste 110
Phoenix, AZ 85048
Phone: (480) 763-5808
Fax: (480) 759-0647
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 52817
Phoenix, AZ 85072-2817
Registry dates
- Enumerated
- 2006-04-21
- Last updated
- 2010-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.