Organization
AZ BODY MECHANICS- HIGH ST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY DEWOLF DC (OWNER)
(480) 282-8485
Entity
Organization
Contact information
Practice address
5410 E HIGH ST, SUITE 107, PHOENIX, AZ 85054-5456
(480) 282-8485
(480) 323-2777
Mailing address
4127 E PULLMAN RD, CAVE CREEK, AZ 85331-4007
(480) 282-8485
(480) 323-2777
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
7685
AZ
225100000X
Physical Therapist
4369
AZ
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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