Individual
RUTH S BACKWAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
250 S MCCORMICK ST, PRESCOTT, AZ 86303-4714
(928) 777-8050
(928) 443-9029
Mailing address
250 S MCCORMICK ST, PRESCOTT, AZ 86303-4714
(928) 777-8050
(928) 443-9029
Taxonomy
Speciality
Code
Description
License number
State
2251E1200X
Ergonomics Physical Therapist
3189
AZ
2251G0304X
Geriatric Physical Therapist
Primary
3189
AZ
2251X0800X
Orthopedic Physical Therapist
3189
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0187238
STATE OF WASHINGTON DOL
WA
05
—
642901
—
AZ
01
—
AZ 0462680
BCBS
AZ
Enumeration date
05/09/2006
Last updated
09/11/2025
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