Provider Demographics
NPI:1508047770
Name:BIOMECHANIX PHYSICAL THERAPY, PLC
Entity Type:Organization
Organization Name:BIOMECHANIX PHYSICAL THERAPY, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEICHERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-882-2992
Mailing Address - Street 1:750 N. ESTRELLA PARKWAY
Mailing Address - Street 2:SUITE 50
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338
Mailing Address - Country:US
Mailing Address - Phone:623-882-2992
Mailing Address - Fax:623-925-4923
Practice Address - Street 1:750 N. ESTRELLA PARKWAY
Practice Address - Street 2:SUITE 50
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338
Practice Address - Country:US
Practice Address - Phone:623-882-2992
Practice Address - Fax:623-925-4923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy