Provider Demographics
NPI:1891551628
Name:SEMKEN PHYSICAL THERAPY
Entity Type:Organization
Organization Name:SEMKEN PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ALISSON
Authorized Official - Middle Name:ADRIANA
Authorized Official - Last Name:SEMKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-542-1046
Mailing Address - Street 1:1345 E MCKELLIPS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-2721
Mailing Address - Country:US
Mailing Address - Phone:480-542-1046
Mailing Address - Fax:602-429-8491
Practice Address - Street 1:1345 E MCKELLIPS RD STE 101
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-2721
Practice Address - Country:US
Practice Address - Phone:480-542-1046
Practice Address - Fax:602-429-8491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty