| NPI | 1760237325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY HIRST Authorized Official 480-899-9923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |