Organization
AZ NEUROMUSCULAR THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON M WHEAT DC (OWNER)
(602) 980-4719
Entity
Organization
Contact information
Practice address
3231 S COUNTRY CLUB WAY STE 108, TEMPE, AZ 85282-4053
(480) 831-0700
Mailing address
5695 E SAGUARO RD, CAVE CREEK, AZ 85331-8152
(602) 980-4719
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518310427
—
AZ
Enumeration date
12/17/2018
Last updated
06/11/2019
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