Organization
AXIS PHYSICAL THERAPY
Active
Other names
Axis Physical Therapy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO TEERING P.T. (CEO/P.T.)
(831) 757-3055
Entity
Organization
Contact information
Practice address
505 E ROMIE LN, SUITE#I, SALINAS, CA 93901-4031
(831) 757-3055
(831) 757-5622
Mailing address
505 E ROMIE LN, SUITE#I, SALINAS, CA 93901-4031
(831) 757-3055
(831) 757-5622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT16753
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ26996Z
BLUE CROSS
CA
01
—
ZZZ26997Z
BLUE CROSS
CA
Enumeration date
07/19/2006
Last updated
01/19/2012
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