Organization
BASECAMP PHYSICAL THERAPY AND PERFORMANCE OF FLAGSTAFF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN MADDING (DIRECTOR OF BUSINESS OPERATIONS)
(928) 224-0747
Entity
Organization
Contact information
Practice address
2619 S WOODLANDS VILLAGE BLVD STE 750, FLAGSTAFF, AZ 86001-1628
(928) 224-0747
(928) 224-0802
Mailing address
2619 S WOODLANDS VILLAGE BLVD STE 750, FLAGSTAFF, AZ 86001-1628
(928) 224-0747
(928) 224-0802
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
09/01/2023
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