Body Shop Physical Therapy And Wellness Center, Llc
LBN: The Physio Shop Llc
Body Shop Physical Therapy And Wellness Center, Llc is an health care organization with primary practice located at 1510 S. Riordan Ranch St. , Flagstaff AZ 86001. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty.
The Physio Shop Llc can be contacted via phone (928) 214-7303, or through Dorsch, Jason Christopher via phone (928) 214-7303.
Contact Information
Primary practice address
1510 S. Riordan Ranch St.
Flagstaff AZ 86001
Phone: (928) 214-7303
Fax: (928) 214-0696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 9032 | Arizona |
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1134524234 |
|---|---|
| LBN Legal business name | The Physio Shop Llc |
| DBA Doing business as | Body Shop Physical Therapy And Wellness Center, Llc |
| Authorized official | Dorsch, Jason Christopher AT, DPT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 31st, 2014 |
| Last updated | May 25th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134524234 | NPPES |
| Arizona | MEDICAID | 126915 |
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