Provider Demographics
NPI:1417691551
Name:RANCHESTER SPRINGS LLC
Entity Type:Organization
Organization Name:RANCHESTER SPRINGS LLC
Other - Org Name:FREEDOM SPORTS AND PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:520-441-5247
Mailing Address - Street 1:PO BOX 1489
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AZ
Mailing Address - Zip Code:85132-3029
Mailing Address - Country:US
Mailing Address - Phone:520-441-5247
Mailing Address - Fax:
Practice Address - Street 1:99 E BUTTE AVE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AZ
Practice Address - Zip Code:85132-0059
Practice Address - Country:US
Practice Address - Phone:520-441-5247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-25
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy