Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C.

LBN: Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C.
Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C. is an health care organization with primary practice located at 2852 N Navajo Dr Suite A, Prescott Valley AZ 86314-4963. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C. can be contacted via phone (928) 772-9797, or through Vredeveld, Kelly Gerrit via phone (928) 772-9797.

Contact Information

Primary practice address
2852 N Navajo Dr Suite A Prescott Valley AZ 86314-4963
Phone: (928) 772-9797
Fax: (928) 772-9340
Website:
Map and Directions
Authorized official contact:
Name: Vredeveld, Kelly Gerrit D.P.T.
Phone: (928) 772-9797

Health care specialties

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

Profile Details

NPI number 1831149913
LBN Legal business name Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C.
DBA Doing business as
Authorized official Vredeveld, Kelly Gerrit D.P.T.
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Jul 10th, 2024 - about 2 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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