Organization
BODY MECHANICS MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY DEWOLF (OWNER, CEO)
(480) 282-8485
Entity
Organization
Contact information
Practice address
5410 E HIGH ST, STE 107, PHOENIX, AZ 85054-5456
(480) 282-8485
Mailing address
4127 E PULLMAN RD, CAVE CREEK, AZ 85331-4007
(480) 292-1734
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AP7566
AZ
225100000X
Physical Therapist
10198
AZ
Other
Enumeration date
11/14/2015
Last updated
12/08/2015
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