Healthcare Provider Details

I. General information

NPI: 1730191016
Provider Name (Legal Business Name): HEALTHWEST THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S POWER RD
MESA AZ
85206-5207
US

IV. Provider business mailing address

12449 N 120TH ST
SCOTTSDALE AZ
85259-3209
US

V. Phone/Fax

Practice location:
  • Phone: 480-353-9669
  • Fax:
Mailing address:
  • Phone: 480-588-6757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. JACQUELINE TARLIAN
Title or Position: OPERATIONS DIRECTOR
Credential:
Phone: 480-353-9669