Healthcare Provider Details

I. General information

NPI: 1154232445
Provider Name (Legal Business Name): COLLISION CHIROPRACTORS II
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3602 W THOMAS RD STE 4
PHOENIX AZ
85019-4442
US

IV. Provider business mailing address

3602 W THOMAS RD STE 4
PHOENIX AZ
85019-4442
US

V. Phone/Fax

Practice location:
  • Phone: 602-368-4089
  • Fax: 602-334-1026
Mailing address:
  • Phone: 602-368-4089
  • Fax: 602-334-1026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL PAPAMATHEAKIS
Title or Position: OWNER
Credential: DC
Phone: 602-446-2834