Provider Demographics
NPI:1053421487
Name:NANCE, JAMES MARTIN (KINESIOTHERAPIST)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MARTIN
Last Name:NANCE
Suffix:
Gender:M
Credentials:KINESIOTHERAPIST
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Mailing Address - Street 1:6881 N MACHIAVELLI WAY
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2644
Mailing Address - Country:US
Mailing Address - Phone:520-548-5620
Mailing Address - Fax:
Practice Address - Street 1:3601 S 6TH AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723-0001
Practice Address - Country:US
Practice Address - Phone:520-792-1450
Practice Address - Fax:520-629-4680
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1379226300000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist
No174400000XOther Service ProvidersSpecialist