| Organization Name: | THE CENTER FOR TOTAL BACK CARE, PLC |
| NPI Number: | 1194850263 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | B. JEFFREY JOLLEY (PARTNER) |
| Mailing Address: | 2220 S Country Club Dr Suite 102 Mesa |
| State: | AZ US |
| Postal Code: | 852106808 |
| Phone Number: | 4806338293 |
| Fax Number: | 4809261564 |
| NPI Enumeration Date: | 02/22/2007 |
| NPI Last Update Date: | 06/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | AZ5619 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |