Agave Physical Therapy Llc

LBN: Agave Physical Therapy Llc
Agave Physical Therapy Llc is an health care organization with primary practice located at 191 Swanson Ave #102, Lake Havasu City AZ 86403-6699. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Agave Physical Therapy Llc can be contacted via phone (928) 855-7880, or through Qualls, Brett via phone (928) 855-7880.

Contact Information

Primary practice address
191 Swanson Ave #102 Lake Havasu City AZ 86403-6699
Phone: (928) 855-7880
Fax: (928) 855-7881
Website:
Map and Directions
Authorized official contact:
Name: Qualls, Brett PT, DPT
Phone: (928) 855-7880

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1720521040
LBN Legal business name Agave Physical Therapy Llc
DBA Doing business as
Authorized official Qualls, Brett PT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2016
Last updated Dec 13th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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