Organization Name: | BODY MECHANICS PHYSICAL THERAPY- HIGH ST PLLC |
NPI Number: | 1083048409 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STACEY DEWOLF (OWNER) |
Mailing Address: | 5410 E High St Suite 107 Phoenix |
State: | AZ US |
Postal Code: | 850545456 |
Phone Number: | 4802828485 |
Fax Number: | 4803232777 |
NPI Enumeration Date: | 08/22/2013 |
NPI Last Update Date: | 11/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4369 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |