Most Relevant Information
Provider Data
| NPI Number: | 1003587270 |
| Provider Name: | NICHOLAS SCOTT DOLEZAL PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | LPT-32019 |
Most Important Dates
| Enumeration Date: | 09/27/2021 |
| Last Updated: | 09/27/2021 |
Provider Practice Location
3003 HWAY 95 STE 61
BULLHEAD CITY
AZ
864427896
Practice Location Phone/Fax
| Phone: | 9284406880 |
| Fax: |
Provider Mailing Location
3003 HWAY 95 STE 61
BULLHEAD CITY
AZ
864427896
Provider Mailing Phone/Fax
| Phone: | 9284406880 |
| Fax: |