Organization Name: | VITALITY SPINE & SPORTS PHYSICAL THERAPY, LLC |
NPI Number: | 1740514629 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN C HINKLE (OWNER) |
Mailing Address: | 15920 S Rancho Sahuarita Blvd Suite 160 Sahuarita |
State: | AZ US |
Postal Code: | 856298012 |
Phone Number: | 5208678064 |
Fax Number: | 5208678063 |
NPI Enumeration Date: | 09/25/2009 |
NPI Last Update Date: | 06/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4064 |
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 |