IndividualActive
Allan Self
NPI 1902774136 · Physical Therapy Assistant · Mesa, AZ
Provider details
- NPI number
- 1902774136
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA-012176 (AZ)
Practice location
10861 E Baseline Rd Ste A105
Mesa, AZ 85209-7921
Phone: (520) 231-1360
Mailing address
2721 W Cactus Wren St
Apache Junction, AZ 85120-5261
Registry dates
- Enumerated
- 2025-10-28
- Last updated
- 2025-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.