# AZ CHIROPRACTIC AND PHYSICAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760237325
- **Authorized official:** TIMOTHY HIRST (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 899-9923

## Contact information

- **Practice address:** 3570 S VAL VISTA DR STE 110, GILBERT, AZ 85297-7327
- **Practice address phone:** (480) 899-9923
- **Mailing address:** 3570 S VAL VISTA DR STE 110, GILBERT, AZ 85297-7327
- **Mailing address phone:** (480) 899-9923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2024
- **Last updated:** 04/18/2024