Provider Demographics
NPI:1932391299
Name:CATZ PHYSICAL THERAPY
Entity Type:Organization
Organization Name:CATZ PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:IDKIFF
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:480-722-0300
Mailing Address - Street 1:825 EAST WARNER ROAD SUITE C-100
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225
Mailing Address - Country:US
Mailing Address - Phone:480-722-0300
Mailing Address - Fax:480-722-0302
Practice Address - Street 1:825 E WARNER RD STE C-100
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-0994
Practice Address - Country:US
Practice Address - Phone:480-722-0300
Practice Address - Fax:480-722-0302
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELITE TRAINING SYSTEMS,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-10
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5882261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center