=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003227687
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | M&RS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/16/2014
-----------------------------------------------------
Last Update Date | 05/19/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7679 E PINNACLE PEAK RD SUITE100
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85255-6299
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-264-4599
-----------------------------------------------------
Fax | 480-269-9201
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7679 E PINNACLE PEAK RD SUITE100
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85255-6299
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-264-4599
-----------------------------------------------------
Fax | 480-269-9201
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING PARTNER
-----------------------------------------------------
Name | ROSEANNE VARNER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 702-379-7592
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------