NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1134524234 |   |   |   | THE PHYSIO SHOP LLC | 1510 S. RIORDAN RANCH ST. | FLAGSTAFF | AZ | 86001 |
1144495557 |   |   |   | ROBERT WAYNE MILLER II | 515 N BEAVER ST | FLAGSTAFF | AZ | 860013042 |
1619405313 | ANDRIST | KELSEY | YVONNE |   | 1510 S RIORDAN RANCH ST | FLAGSTAFF | AZ | 860016372 |
1023328804 | DORSCH | JASON | CHRISTOPHER |   | 1510 S RIORDAN RANCH ST | FLAGSTAFF | AZ | 860016372 |
1598272676 | HARDER | KAMERON | JAMES |   | 1510 S RIORDAN RANCH ST | FLAGSTAFF | AZ | 860016372 |
1538338710 | MILLER | ROBERT | WAYNE |   | 515 N BEAVER ST | FLAGSTAFF | AZ | 860013042 |
1982235792 | WAKEFIELD | BENJAMIN |   |   | 1510 S RIORDAN RANCH ST | FLAGSTAFF | AZ | 860016372 |