Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canyon Physical Therapy and Aquatic Rehabilitation, PLLC

Organization Physical Therapy Clinic/Center · NPI 1831149913

Canyon Physical Therapy and Aquatic Rehabilitation, PLLC is a Physical Therapy Clinic/Center in Prescott Valley, Arizona. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2852 N Navajo Dr Ste A
Prescott Valley, AZ 86314-4963
Phone: (928) 772-9797
Fax: (928) 772-9340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1831149913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Vredeveld — Manager · (928) 772-9797
NPI enumeratedMay 11, 2006
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address2852 N Navajo Dr, Suite A, Prescott Valley, AZ 86314-4963

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