Foothills Sports Medicine & Rehabilitation - Gold Canyon, LLC
NPI #1033532130 in Gold Canyon, Arizona
Provider Information
- NPI Number
- 1033532130
- Entity Type
- Organization
- Organization Name
- Foothills Sports Medicine & Rehabilitation - Gold Canyon, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 24, 2014
- Last Updated
- May 4, 2016
Practice Location
- Address
- 6788 S KINGS RANCH RD
- Address 2
- STE 4
- City
- Gold Canyon
- State
- Arizona
- ZIP Code
- 85118-2931
- Phone
- (480) 982-1909
Authorized Official
- Name
- MICHAEL BASTEN
- Title
- OWNER
- Phone
- (480) 689-5515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Sports — Sports |
| Physical Therapist - Orthopedic — Orthopedic |
| Physical Therapist |
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