Organization
AGAVE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT QUALLS PT, DPT (OWNER)
(928) 855-7880
Entity
Organization
Contact information
Practice address
191 SWANSON AVE, #102, LAKE HAVASU CITY, AZ 86403-6699
(928) 855-7880
(928) 855-7881
Mailing address
191 SWANSON AVE, #102, LAKE HAVASU CITY, AZ 86403-6699
(928) 855-7880
(928) 855-7881
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2016
Last updated
12/13/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us