| Vitality Physical Therapy And Wellness, Inc | |
|
6804 S Kings Ranch Rd, Ste 103, Gold Canyon, AZ 85118-2960 | |
| (480) 983-8600 | |
| (480) 983-8601 |
| Full Name | Vitality Physical Therapy And Wellness, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6804 S Kings Ranch Rd, Gold Canyon, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316970437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jennifer K Balbarin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528017522 PECOS PAC ID: 3678566056 Enrollment ID: I20040405000032 |
| Provider Name | Michael Z Balbarin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679506786 PECOS PAC ID: 5294740668 Enrollment ID: I20060207000709 |
| Provider Name | Lori Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588892863 PECOS PAC ID: 8325379399 Enrollment ID: I20191007001962 |
| Provider Name | Marissa L Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093360737 PECOS PAC ID: 9335470186 Enrollment ID: I20191009003017 |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Physical Therapy And Wellness, Inc 4632 S Calico Rd, Gilbert, AZ 85297-9587 Ph: (480) 329-7447 | Vitality Physical Therapy And Wellness, Inc 6804 S Kings Ranch Rd, Ste 103, Gold Canyon, AZ 85118-2960 Ph: (480) 983-8600 |
Foothills Sports Medicine & Rehabilitation - Gold Canyon, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6788 S Kings Ranch Rd, Ste 4, Gold Canyon, AZ 85118 Phone: 480-982-1909 | |
Grace Marie Hanna, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6804 S Kings Ranch Rd Ste 103, Gold Canyon, AZ 85118 Phone: 480-983-8600 | |
Amber Bratcher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6804 S Kings Ranch Rd, Gold Canyon, AZ 85118 Phone: 480-983-8600 | |
Tanya Shadle, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6788 S Kings Ranch Rd Ste 4, Gold Canyon, AZ 85118 Phone: 480-982-1909 Fax: 480-982-3002 | |
Physical Therapy Clinic Of Gold Canyon Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6410 S Kings Ranch Rd, Suite 2, Gold Canyon, AZ 85118 Phone: 480-983-2259 Fax: 480-983-2259 | |
Mr. Michael Harvey Churchman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6410 S Kings Ranch Rd, Suite 2, Gold Canyon, AZ 85118 Phone: 480-983-2259 Fax: 480-983-2259 |