Provider Demographics
NPI:1568009033
Name:LIMITLESS PHYSICAL THERAPY
Entity Type:Organization
Organization Name:LIMITLESS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPT, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BREANA
Authorized Official - Middle Name:R
Authorized Official - Last Name:PRINCE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:503-750-2499
Mailing Address - Street 1:1425 E DESERT COVE AVE UNIT 67
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-1464
Mailing Address - Country:US
Mailing Address - Phone:503-750-2499
Mailing Address - Fax:
Practice Address - Street 1:505 E CAMELBACK RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1615
Practice Address - Country:US
Practice Address - Phone:503-750-2499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy