Most Relevant Information
Provider Data
| NPI Number: | 1003425851 |
| Provider Name: | KAYE SJOHOLM PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 011122 |
Most Important Dates
| Enumeration Date: | 07/28/2020 |
| Last Updated: | 07/28/2020 |
Provider Practice Location
1025 N COUNTRY CLUB DR
MESA
AZ
852013307
Practice Location Phone/Fax
| Phone: | 5053634716 |
| Fax: |
Provider Mailing Location
1025 N COUNTRY CLUB DR
MESA
AZ
852013302
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |