Organization
PINNACLE SPORTS THERAPY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN SAMPLEY P.T. (OWNER/ CLINIC DIRECTOR)
(602) 283-3360
Entity
Organization
Contact information
Practice address
425 E PINNACLE PEAK RD, PHOENIX, AZ 85024-5657
(602) 283-3360
(602) 283-3361
Mailing address
425 E PINNACLE PEAK RD, PHOENIX, AZ 85024-5657
(602) 283-3360
(602) 283-3361
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
8092
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275584567
NPI
—
Enumeration date
11/06/2016
Last updated
05/10/2017
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