Provider Demographics
NPI:1417729542
Name:CATALYST PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:CATALYST PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:BARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:503-803-3524
Mailing Address - Street 1:701 S ADANIROM JUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:CORONA DE TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85641-2348
Mailing Address - Country:US
Mailing Address - Phone:503-803-3524
Mailing Address - Fax:
Practice Address - Street 1:701 S ADANIROM JUDSON AVE
Practice Address - Street 2:
Practice Address - City:CORONA DE TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85641-2348
Practice Address - Country:US
Practice Address - Phone:503-803-3524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy