MEDICARE: DESERT PALMS PHYSICAL THERAPY- CATALINA PC

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	225100000X	Physical Therapist	8748	AZ
2	225100000X	Physical Therapist	2987	AZ
3	225100000X	Physical Therapist
4	225100000X	Physical Therapist	6475	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134308596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESERT PALMS PHYSICAL THERAPY- CATALINA PC

Provider Business Mailing Address
First Line	:	PO BOX 8758
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85738-0758
Country	:	US
Telephone Number	:	520-818-3856
Fax Number	:	520-818-3857

Provider Business Practice Location Address
First Line	:	15631 N ORACLE ROAD
Second Line	:	SUITE 111
City	:	TUCSON
State	:	AZ
Zip	:	85739
Country	:	US
Telephone Number	:	520-818-3856
Fax Number	:	520-818-3857

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/OWNER
Name	:	MR. KEVIN EGGERS
Credential	:	MPT
Telephone Number	:	520-818-3856

Provider Enumeration Date	:	11/01/2007
Last Update Date	:	07/03/2018

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Directions to “DESERT PALMS PHYSICAL THERAPY- CATALINA PC ” Practice Location

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