Organization
ARIZONA INDUSTRIAL, SPORT & SPINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN T. ADAMS P.T. (OWNER/ CORPORATE PRESIDENT)
(480) 897-9016
Entity
Organization
Contact information
Practice address
26439 S TANGELO AVE STE 1, QUEEN CREEK, AZ 85142-8038
(480) 897-9016
(480) 718-8494
Mailing address
26439 S TANGELO AVE STE 1, QUEEN CREEK, AZ 85142-8038
(480) 897-9016
(480) 718-8494
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2113
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164065 (852)
FIRST HEALTH
AZ
01
—
2Z9327
HEALTH NET
AZ
01
—
378646200
OWCP DOL
AZ
01
—
497630
ONE HEALTH
AZ
01
—
670917
ACN
AZ
01
—
7799540
AETNA
AZ
01
—
A-100786
MULTI PLAN
AZ
01
—
AZ0462410
BLUE CROSS BLUE SHIELD
AZ
01
—
QH9011
EMPIRE BC/BS
AZ
01
—
TC00885
TRI CARE
AZ
Enumeration date
10/04/2006
Last updated
01/09/2025
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