Foothills Sports Medicine Physical Therapy- Buckeye LLC

NPI #1811645484 in Buckeye, Arizona

Provider Information

NPI Number
1811645484
Entity Type
Organization
Organization Name
Foothills Sports Medicine Physical Therapy- Buckeye LLC
Primary Specialty
Physical Therapist
Enumeration Date
Mar 14, 2022
Last Updated
Mar 25, 2022

Practice Location

Address
1300 S WATSON RD STE 104
State
Arizona
ZIP Code
85326-6264
Phone
(480) 706-1161

Authorized Official

Name
MICHAEL L BASTEN, DPT
Title
DELEGATED OFFICIAL/CEO
Phone
(480) 689-5515

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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