MEDICARE: TOUCH OF CARE PHYSICAL THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	5480	AZ

General Provider Information

NPI Number	:	1164661195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOUCH OF CARE PHYSICAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	3514 N POWER RD
Second Line	:	SUITE 133
City	:	MESA
State	:	AZ
Zip	:	85215-2903
Country	:	US
Telephone Number	:	480-854-7246
Fax Number	:	888-602-4914

Provider Business Practice Location Address
First Line	:	3514 N POWER RD
Second Line	:	SUITE 133
City	:	MESA
State	:	AZ
Zip	:	85215-2903
Country	:	US
Telephone Number	:	480-854-7246
Fax Number	:	888-602-4914

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/OWNER
Name	:	MR. TRAVIS A. CARLTON
Credential	:	PT, MSPT
Telephone Number	:	480-854-7246

Provider Enumeration Date	:	02/15/2009
Last Update Date	:	03/17/2011

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