NPI 1689115164 · live from the CMS NPI Registry
360 Physical Therapy LLC
Physical Therapist in Queen Creek, AZ. National Provider Identifier 1689115164, active.
NPI record
| NPI | 1689115164 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 21576 S Ellsworth Loop Rd, 150, Queen Creek, AZ 85142 |
| Practice phone | 480-821-1997 |
| Enumerated | March 16, 2017 |
| Last updated | March 16, 2017 |
| Authorized official | Cheryl Brunin, Revenue Process Manager |
| Other names | 360 Physical Therapy |
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.