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Mr. Nicklaus Ellif Biederwolf, PT,DPT,CSCS
Orthopedic Physical Therapist in Phoenix, Arizona
NPI 1497820476

Nicklaus Ellif Biederwolf is a Orthopedic Physical Therapist based in Oklahoma City, AZ and is specialized in Orthopedic. Nicklaus Ellif Biederwolf practices in Phoenix, AZ and has the professional credentials of PT,DPT,CSCS. The NPI Number for Nicklaus Ellif Biederwolf is 1497820476 and holds a License No. 6704 (Arizona).

The current practice location address for Nicklaus Ellif Biederwolf is 11209 N Tatum Blvd, Phoenix, AZ and can be reached out via phone at 602-795-8441 and via fax at 602-795-8447.

Location: 11209 N Tatum Blvd, Phoenix, AZ, 73126-9084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497820476
Provider Name
Nicklaus Ellif Biederwolf
Credential
PT,DPT,CSCS
Provider Entity Type
Individual
Gender
Male
Address
11209 N Tatum Blvd, Phoenix, AZ, 73126-9084
Phone Number
602-795-8441
Fax Number
602-795-8447
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
908347 05 AZ
institution
Provider Business Practice Location Address Details
Address
11209 N Tatum Blvd
City
Phoenix
State
Arizona
Zip
85028-3091
Phone Number
602-795-8441
Fax Number
602-795-8447
person
Provider Business Mailing Address Details
Address
11209 N Tatum Blvd
City
Phoenix
State
Arizona
Zip
85028-3091
Phone Number
602-795-8441
Fax Number
602-795-8447
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
6704 (Arizona)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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