Organization
NORTHLAND THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY MARIE GASKILL (PROGRAM DIRECTOR)
(928) 532-1532
Entity
Organization
Contact information
Practice address
1294 FAWNBROOK DRIVE, SHOWLOW, AZ 85902
(928) 532-1532
(928) 532-1538
Mailing address
1294 FAWNBROOK DRIVE, PO BOX 328, SHOWLOW, AZ 85902
(928) 532-1532
(928) 532-1538
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
954306
—
AZ
01
—
AZ0463850
BCBS
AZ
Enumeration date
06/30/2006
Last updated
09/11/2025
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