Organization Name: | TIPTON PHYSICAL THERAPY, LLC |
NPI Number: | 1811954803 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANITA ANN PHELPS (MEDICAL BILLING) |
Mailing Address: | 8400 E Florentine Rd Prescott Valley |
State: | AZ US |
Postal Code: | 863148653 |
Phone Number: | 9287759999 |
Fax Number: | 9287759998 |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 08/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 07/17/2006 |
NPI Reactivation Date: | 08/30/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5049 |
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 |