Provider Demographics
NPI:1801523071
Name:RESOLVE PHYSICAL THERAPY
Entity type:Organization
Organization Name:RESOLVE PHYSICAL THERAPY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / CLINICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:N
Authorized Official - Last Name:JOBES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:904-598-4072
Mailing Address - Street 1:140 ARROWROOT DR
Mailing Address - Street 2:
Mailing Address - City:CLANCY
Mailing Address - State:MT
Mailing Address - Zip Code:59634-9815
Mailing Address - Country:US
Mailing Address - Phone:904-598-4072
Mailing Address - Fax:855-654-6377
Practice Address - Street 1:140 ARROWROOT DR
Practice Address - Street 2:
Practice Address - City:CLANCY
Practice Address - State:MT
Practice Address - Zip Code:59634-9815
Practice Address - Country:US
Practice Address - Phone:904-598-4072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-06
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty