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Organization
TIPTON PHYSICAL THERAPY, LLC
Active
Organization
TIPTON PHYSICAL THERAPY, LLC
Active
Other names
Tipton Physical Therapy and Aquatic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA ANN PHELPS (MEDICAL BILLING)
(928) 775-9999
Entity
Organization
Contact information
Practice address
8400 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-8653
(928) 775-9999
(928) 775-9998
Mailing address
8400 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-8653
(928) 775-9999
(928) 775-9998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5049
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106263700
DEPT OF LABOR
AZ
01
—
115AZ60188
TRIWEST DCN
AZ
05
—
191587
—
AZ
01
—
3Z2680
HEALTHNET
AZ
01
—
670847
UNITED HEALTHCARE
AZ
01
—
707440
WELLCARE
AZ
Enumeration date
04/26/2006
Last updated
09/10/2018
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