Organization
FOOTHILLS SPORTS MEDICINE & PHYSICAL THERAPY - STETSON VILLAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BASTEN (OWNER)
(480) 689-5515
Entity
Organization
Contact information
Practice address
3850 W HAPPY VALLEY RD STE 147149, GLENDALE, AZ 85310-3280
(623) 322-8925
(623) 444-8336
Mailing address
15410 S MOUNTAIN PKWY STE 112, PHOENIX, AZ 85044-6691
(480) 706-1161
(480) 706-7997
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
03/05/2020
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