NPI 1780309963 · live from the CMS NPI Registry
Arizona Physical Therapy Services Of Cottonwood, LLC
Physical Therapist in Cottonwood, AZ. National Provider Identifier 1780309963, active.
NPI record
| NPI | 1780309963 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 201 E Mingus Ave Apt 201, Cottonwood, AZ 86326 |
| Practice phone | 928-202-3650 |
| Mailing address | Po Box 51266, Lafayette, LA 70505 |
| Enumerated | October 10, 2022 |
| Last updated | May 7, 2024 |
| Authorized official | Joshua Proffitt, President |
| Other names | Arizona Physical Therapy Services Of Cottonwood |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.