Organization
MODERN SPORTS MEDICINE LLC
Active
Organization
MODERN SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASHA FLYNN (CREDENTIALING COORDINTOR)
(480) 780-0467
Entity
Organization
Contact information
Practice address
12142 N RANCHO VISTOSO BLVD STE B-150, ORO VALLEY, AZ 85755-1842
(480) 306-6627
(480) 306-6696
Mailing address
5590 W CHANDLER BLVD STE 4, CHANDLER, AZ 85226-3744
(480) 306-6627
(480) 306-6696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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