IndividualActive
Adrian Jantzi
NPI 1760080279 · Physical Therapy Assistant · Prescott Valley, AZ
Provider details
- NPI number
- 1760080279
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 10879A (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3380 N Windsong Dr
Prescott Valley, AZ 86314-2262
Phone: (928) 775-0045
Approximate (ZIP-level) locationGet directions
Mailing address
3380 N Windsong Dr
Prescott Valley, AZ 86314-2262
Registry dates
- Enumerated
- 2020-10-16
- Last updated
- 2020-10-16
- Certified
- 2020-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.