Organization
GATEWAY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN KEMPTON PT, DPT (OWNER)
(480) 813-9191
Entity
Organization
Contact information
Practice address
4566 E INVERNESS AVE, SUITE 103, MESA, AZ 85206-4633
(480) 813-9191
(480) 813-0025
Mailing address
4566 E INVERNESS AVE, SUITE 103, MESA, AZ 85206-4633
(480) 813-9191
(480) 813-0025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8527AZ
AZ
302R00000X
Health Maintenance Organization
305R00000X
AZ
305R00000X
Preferred Provider Organization
305R00000X
AZ
Other
Enumeration date
10/09/2013
Last updated
10/18/2013
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