Organization
ELEVATION PHYSICAL THERAPY
Active
Other names
Allied Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN LONGHURST (VICE PRESIDENT)
(801) 540-2840
Entity
Organization
Contact information
Practice address
128 MIDDLE ST, FARMINGTON, ME 04938-6937
(801) 540-2840
Mailing address
348 WALKER HILL RD, WILTON, ME 04294-4619
(801) 540-2840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255763439
NPI
—
Enumeration date
07/31/2020
Last updated
07/31/2020
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