Organization
HIGH DESERT PHYSICAL THERAPY AND SPORTS REHABILITATION, PLLC
Active
Organization
HIGH DESERT PHYSICAL THERAPY AND SPORTS REHABILITATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH M HARTNETT DPT (OWNER/P.T.)
(928) 289-4378
Entity
Organization
Contact information
Practice address
221 W SECOND ST, WINSLOW, AZ 86047-3564
(928) 289-4378
(928) 289-5116
Mailing address
221 W SECOND ST, WINSLOW, AZ 86047-3564
(928) 289-4378
(928) 289-5116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1993
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094792
—
AZ
05
—
356263
—
AZ
05
—
788599
—
AZ
01
—
DA1420
RR MEDICARE
AZ
01
—
Z197326
MEDICARE UPIN
AZ
01
—
Z75082
MEDICARE UPIN
AZ
Enumeration date
01/24/2006
Last updated
07/19/2018
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