Organization
BACKWAYS PHYSICAL THERAPY, PLLC
Active
Organization
BACKWAYS PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH S BACKWAY PT (OWNER)
(928) 777-8050
Entity
Organization
Contact information
Practice address
250 S MCCORMICK ST, PRESCOTT, AZ 86303-4714
(928) 777-8050
(928) 443-9029
Mailing address
250 S MCCORMICK ST, PRESCOTT, AZ 86303-4714
(928) 777-8050
(928) 443-9029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0187237
US DEPARTMENT OF LABOR
AZ
01
—
AZ 0462680
BCBS
AZ
Enumeration date
05/09/2006
Last updated
08/22/2020
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