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

Individual provider Physical Therapy Assistant · NPI 1063067536

Miguel Angel Sepulveda, PTA is a Physical Therapy Assistant in Prescott Valley, Arizona. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

8400 E Florentine Rd
Prescott Valley, AZ 86314-8653
Phone: (928) 775-9999
Fax: (928) 775-9998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1063067536
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 1, 2019
Last updated in NPPESAugust 1, 2019

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