Spark Performance And Physiotherapy
Clinic/Center, Physical Therapy in Mesa, AZ. Organization (NPI-2).
NPI number1982195624
StatusActive
Last updated in NPPESJul 25, 2018
Details
- NPI
- 1982195624
- Entity type
- Organization (NPI-2)
- Legal business name
- Spark Performance And Physiotherapy
- Organization subpart
- No
- Enumeration date
- May 29, 2018
- Last updated
- Jul 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
6056 East Basline RoadSuite 147
Mesa, AZ 85206
Phone 480-452-9191 · Fax 480-534-1113
Mailing address
6056 East Baseline RoadSuite 147
Mesa, AZ 85206
Phone 480-452-9191 · Fax 480-534-1113
Authorized official
Steven Alexander
Ceo/Director
4804529191
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All 44 Physical Therapy Clinic/Center providers in Mesa · All 13,507 providers in Mesa
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