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NPI Code Detail

MEDICARE: AGILITY SPINE & SPORTS PHYSICAL THERAPY AND REHABILITATION LP

MEDICARE: AGILITY SPINE & SPORTS PHYSICAL THERAPY AND REHABILITATION LP
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1285166330
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGILITY SPINE & SPORTS PHYSICAL THERAPY AND REHABILITATION LP
Provider Business Mailing Address
First Line : 1777 W SAINT MARYS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2687
Country : US
Telephone Number : 520-884-9819
Fax Number : 520-884-0175
Provider Business Practice Location Address
First Line : 1880 W ORANGE GROVE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85704-1129
Country : US
Telephone Number : 520-797-2090
Fax Number : 520-797-3138
Authorized Official
Title or Position : VP/AUTHORIZED OFFICIAL
Name : RICHARD BINSTEIN
Credential :
Telephone Number : 713-297-7000
Provider Enumeration Date : 03/29/2017
Last Update Date : 03/29/2017

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Directions to “AGILITY SPINE & SPORTS PHYSICAL THERAPY AND REHABILITATION LP ” Practice Location

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