| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RICKY ACEVEDO | 1457799959 | 2023-02-12 |
Ricky Acevedo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1457799959. Registration indicates Ricky Acevedo is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapy Assistant) (Physical Therapy Assistant, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Ricky Acevedo PTA |
| Practice Office Address | 1475 N GRANITE REEF RD SCOTTSDALE, AZ US |
| Practice Office Telephone | 4809901904 |
| Mailing Address | 16682 N WEST POINT PKWY APT 105 SURPRISE, AZ 853744033 US |
| Business Telephone | 4806167582 |
| Code | Practice | License No State |
|---|---|---|
| 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | MT-24845
AZ |
| 225200000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant Physical Therapy Assistant Speech/Occupational/Physical Therapy/Chiropractor Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 10325A
AZ |