Body Mechanics Physical Therapy- High St PLLC
Organization Active NPI Physical Therapist · Phoenix, AZ
NPI 1083048409 · NPPES record last updated Nov 23, 2015
Key facts
- NPI
- 1083048409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 10198 (AZ)
- Legal business name
- BODY MECHANICS PHYSICAL THERAPY- HIGH ST PLLC
- Practice address
- 5410 E High St
Suite 107
Phoenix, AZ 85054-5456 - Phone
- (480) 282-8485
- Fax
- (480) 323-2777
- NPI assigned
- Aug 22, 2013
- Organization subpart
- No
Authorized official
- Name
- Stacey Dewolf, DC
- Title
- Owner
- Phone
- (480) 282-8485
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 4369 | AZ | |
| Physical Therapist |
225100000X | 10198 | AZ | Yes |
Addresses
Primary practice location
5410 E High St
Suite 107
Phoenix, AZ 85054-5456
Mailing address
4127 E Pullman Rd
Cave Creek, AZ 85331-4007
Phone (480) 282-8485
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- Bodysmart Massage & Bodywork LLC
- Georgiana Marie Boeckmann
- Richard Ronald Boeckmann
- Jordin Nichole Boehlke
All providers in Phoenix, AZ · Physical Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.