Provider Demographics
NPI:1316512734
Name:KYRIAKOS, DANIKA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:DANIKA
Middle Name:
Last Name:KYRIAKOS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:DANIKA
Other - Middle Name:
Other - Last Name:ATEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5228 E CAROL AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-1304
Mailing Address - Country:US
Mailing Address - Phone:505-977-7765
Mailing Address - Fax:
Practice Address - Street 1:6960 E BROADWAY RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85208-1916
Practice Address - Country:US
Practice Address - Phone:480-807-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPT-31780225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist