OrganizationActive
Aegis Group Practice LLC
NPI 1619689924 · Physical Therapist · Tucson, AZ
Provider details
- NPI number
- 1619689924
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Misty Wilson, Credentialing Specialist
Practice location
662 S Wilmot Rd
Tucson, AZ 85711-4000
Phone: (520) 993-2879
Fax: (479) 439-7966
Mailing address
2601 Network Blvd Ste 102
Frisco, TX 75034-9092
Registry dates
- Enumerated
- 2022-12-19
- Last updated
- 2022-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.