Provider Demographics
NPI:1457671802
Name:ARCHES PPT, LLC
Entity Type:Organization
Organization Name:ARCHES PPT, LLC
Other - Org Name:PETERSON PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWSETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-717-9366
Mailing Address - Street 1:484 W 800 N STE 202
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-3728
Mailing Address - Country:US
Mailing Address - Phone:801-717-9366
Mailing Address - Fax:
Practice Address - Street 1:1320 W IRON SPRINGS RD
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-1414
Practice Address - Country:US
Practice Address - Phone:928-771-2977
Practice Address - Fax:928-771-2987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy