Organization
FOOTHILLS SPORTS MEDICINE PHYSICAL THERAPY - NE SCOTTSDALE LLC
Active
Organization
FOOTHILLS SPORTS MEDICINE PHYSICAL THERAPY - NE SCOTTSDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BASTEN PT, DPT (OWNER/CEO)
(480) 689-5515
Entity
Organization
Contact information
Practice address
14140 N 100TH ST, SCOTTSDALE, AZ 85260-3899
(480) 706-1161
Mailing address
15410 S MOUNTAIN PKWY STE 112, PHOENIX, AZ 85044-6691
(480) 410-4727
(480) 706-7997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
03/29/2022
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