Organization · Type 2 NPI

The Physio Shop LLC

Physical Therapy Clinic/Center · Flagstaff, AZ

NPI number 1134524234 Active

Practice location

1510 S. Riordan Ranch St.
Flagstaff, AZ 86001

Call (928) 214-7303 Map

Fax (928) 214-0696

Other practice locations

6011 N. Oracle Rd, Suite # 151, Tucson, AZ 85704-5309 · (928) 214-7303

Specialties and licenses

Taxonomy	Code	License
Physical Therapist	225100000X	9032 (AZ)
Physical Therapy Clinic/Center Primary	261QP2000X	None listed

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

Other physical therapy clinic/center providers in Flagstaff

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NPI record

NPI: 1134524234
Entity type: Organization (Type 2)
Issued: Oct 31, 2014
Last updated: May 25, 2021
Status: Active

Other names

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Body Shop Physical Therapy and Wellness Center, LLC · former legal business name

Authorized official

Jason Christopher Dorsch, AT, DPT
Dpt/owner
(928) 214-7303

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1134524234

The Physio Shop LLC's National Provider Identifier is 1134524234, issued on Oct 31, 2014. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Flagstaff, AZ. The record was last updated on May 25, 2021.