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

Allan S Self

Individual provider Physical Therapy Assistant · NPI 1902774136

Allan S Self is a Physical Therapy Assistant in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

10861 E Baseline Rd Ste A105
Mesa, AZ 85209-7921
Phone: (520) 231-1360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA-012176 (AZ)

Record details

NPI number1902774136
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 28, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address2721 W Cactus Wren St, Apache Junction, AZ 85120-5261

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