Organization
AFFINITY PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILL HUMPHREYS PT (PRESIDENT/OWNER)
(520) 868-0098
Entity
Organization
Contact information
Practice address
350 S MAIN STREET, FLORENCE, AZ 85132
(520) 868-0098
Mailing address
PO BOX 1400, FLORENCE, AZ 85132-3028
(520) 868-0098
(520) 868-1098
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5881
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295828
—
AZ
05
—
701368
—
AZ
05
—
860636
—
AZ
05
—
917932
—
AZ
Enumeration date
10/24/2014
Last updated
10/24/2014
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