| The Center For Total Back Care, Plc | |
|
2220 S Country Club Dr, Suite 102, Mesa, AZ 85210-6808 | |
| (480) 633-8293 | |
| (480) 926-1564 |
| Full Name | The Center For Total Back Care, Plc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2220 S Country Club Dr, Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194850263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | AZ5619 (Arizona) | Primary |
| Provider Name | Michael Mckown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073656435 PECOS PAC ID: 3971770082 Enrollment ID: I20120112000546 |
| Provider Name | B Jeffrey Jolley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255470753 PECOS PAC ID: 0446235741 Enrollment ID: I20120116000050 |
| Provider Name | Candace G Raczkowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306196563 PECOS PAC ID: 3173774353 Enrollment ID: I20121116000151 |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Total Back Care, Plc 2220 S Country Club Dr, Suite 102, Mesa, AZ 85210-6808 Ph: (480) 633-8293 | The Center For Total Back Care, Plc 2220 S Country Club Dr, Suite 102, Mesa, AZ 85210-6808 Ph: (480) 633-8293 |
Justin Dunaway, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6632 E Baseline Rd, Suite 102, Mesa, AZ 85206 Phone: 480-222-0655 Fax: 480-222-1457 | |
Deborah A Mordhorst, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212 Phone: 480-358-6767 Fax: 480-358-6885 | |
Anda Michelle Vaughn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5358 E Baseline Road, Mesa, AZ 85206 Phone: 480-699-9224 | |
Joshua N Lacanlale, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3035 S Ellsworth Rd, Bldg 4, #128, Mesa, AZ 85212 Phone: 480-357-6500 Fax: 480-357-6515 | |
Christopher Samuel Anderson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 S Dobson Rd Ste 314, Mesa, AZ 85202 Phone: 480-833-7879 | |
Savannah Torrez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2524 E Golden St, Mesa, AZ 85213 Phone: 575-499-4249 | |
Bloom Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3035 S Ellsworth Rd Ste 128, Mesa, AZ 85212 Phone: 480-357-6500 |