Provider Demographics
NPI:1013142504
Name:ARIZONA MULTISPORTS PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:ARIZONA MULTISPORTS PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ZUHL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:623-266-7866
Mailing Address - Street 1:7055 W BELL RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8544
Mailing Address - Country:US
Mailing Address - Phone:623-266-7866
Mailing Address - Fax:623-266-7855
Practice Address - Street 1:7055 W BELL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8544
Practice Address - Country:US
Practice Address - Phone:623-266-7866
Practice Address - Fax:623-266-7855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty