Nayla Khalifa Alhajri, PT

Individual provider Active NPI Physical Therapist · Pueblo, CO

NPI 1386217008 · NPPES record last updated Jul 20, 2021

Key facts

NPI
1386217008
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PTL0017635 (CO)
Practice address
4117 N Elizabeth St
Pueblo, CO 81008-2009
Phone
(719) 545-0788
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTL0017635COMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL0017635 CO Yes

Addresses

Primary practice location

4117 N Elizabeth St
Pueblo, CO 81008-2009

Mailing address

168 E Beshoar Dr
Pueblo West, CO 81007-1699
Phone (719) 242-1110

Other providers in Pueblo, CO

All providers in Pueblo, CO · Physical Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.