NPI 1194153916 · live from the CMS NPI Registry
Alpha And Omega Physical Therapy Acc
Physical Therapist in Show Low, AZ. National Provider Identifier 1194153916, active.
NPI record
| NPI | 1194153916 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 861 E Cooley St # B, Show Low, AZ 85901 |
| Practice phone | 928-537-2678 |
| Enumerated | October 15, 2013 |
| Last updated | November 8, 2023 |
| Authorized official | Suzette Cottrell, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.