Provider Demographics
NPI:1184921819
Name:BODY MECHANICS PHYSICAL THERAPY
Entity type:Organization
Organization Name:BODY MECHANICS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEWOLF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-282-8485
Mailing Address - Street 1:7328 E DEER VALLEY RD
Mailing Address - Street 2:STE 100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-7454
Mailing Address - Country:US
Mailing Address - Phone:480-282-8485
Mailing Address - Fax:480-323-2777
Practice Address - Street 1:7328 E DEER VALLEY RD
Practice Address - Street 2:STE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7454
Practice Address - Country:US
Practice Address - Phone:480-282-8485
Practice Address - Fax:480-323-2777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty