Healthcare Provider Details

I. General information

NPI: 1467978759
Provider Name (Legal Business Name): JOEY LOEB DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9219 E HIDDEN SPUR TRL
SCOTTSDALE AZ
85255-6326
US

IV. Provider business mailing address

9219 E HIDDEN SPUR TRL
SCOTTSDALE AZ
85255-6326
US

V. Phone/Fax

Practice location:
  • Phone: 480-585-6810
  • Fax:
Mailing address:
  • Phone: 480-585-6810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: