Organization
360 PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL HUNNEL (CONTRACTS)
(480) 821-1997
Entity
Organization
Contact information
Practice address
8670 E SHEA BLVD STE 101, SCOTTSDALE, AZ 85260-6656
(480) 607-9200
(480) 607-9207
Mailing address
8670 E SHEA BLVD STE 101, SCOTTSDALE, AZ 85260-6656
(480) 607-9200
(480) 607-9207
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5497
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
616922
—
AZ
01
—
66833
MEDICARE IDENITIFCATION NUMBER
AZ
Enumeration date
01/15/2010
Last updated
09/09/2021
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