Foothills Sports Medicine & Rehabilitation - Seville, LLC

NPI #1053426767 in Gilbert, Arizona

Provider Information

NPI Number: 1053426767
Entity Type: Organization
Organization Name: Foothills Sports Medicine & Rehabilitation - Seville, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 20, 2006
Last Updated: May 5, 2022

Practice Location

Address: 3336 E CHANDLER HEIGHTS RD
Address 2: SUITE 5-126
City: Gilbert
State: Arizona
ZIP Code: 85297-4259
Phone: (480) 840-6125

Authorized Official

Name: MICHAEL BASTEN
Title: OWNER
Phone: (480) 689-5515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Sports — Sports	2251S0007X
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Physical Therapist	225100000X	Primary

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