Provider Demographics
NPI:1326768524
Name:CAMPION, EAMON (PT)
Entity Type:Individual
Prefix:MR
First Name:EAMON
Middle Name:
Last Name:CAMPION
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6655 N CANYON CREST DR UNIT 25103
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-0987
Mailing Address - Country:US
Mailing Address - Phone:520-302-8501
Mailing Address - Fax:
Practice Address - Street 1:13892 N SANDARIO RD
Practice Address - Street 2:SUITE 140
Practice Address - City:MARANA
Practice Address - State:AZ
Practice Address - Zip Code:85653
Practice Address - Country:US
Practice Address - Phone:520-365-1643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ30385225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist