MEDICARE: JOHN JEMUJEFF CHUA SELGA DPT

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	LPT-30626	AZ
2	225100000X	Physical Therapist	IP-18-08	AZ

General Provider Information

NPI Number	:	1881165090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN JEMUJEFF CHUA SELGA DPT

Provider Business Mailing Address
First Line	:	625 KENMOOR AVE SE STE 100
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-2395
Country	:	US
Telephone Number	:	616-356-5000
Fax Number	:	616-356-5001

Provider Business Practice Location Address
First Line	:	1075 S IDAHO RD STE 210
Second Line	:
City	:	APACHE JUNCTION
State	:	AZ
Zip	:	85119-6405
Country	:	US
Telephone Number	:	480-983-0877
Fax Number	:	480-983-3172

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2018
Last Update Date	:	11/15/2024

Similar Medicare Providers

1174022990 — NICHOLAS RYAN BIBEAU DPT
Practice Location Address:

1075 S IDAHO RD STE 210
APACHE JUNCTION, AZ
85119-6405

Practice Phone: 480-983-0877
Practice Fax: 480-983-3172

1972684132 — CONTINUUM WELLNESS CLINIC LLC
Practice Location Address:

1075 S IDAHO RD STE 210
APACHE JUNCTION, AZ
85119-6405

Practice Phone: 480-983-0877
Practice Fax:

1578874418 — DR. SAMUEL D BAIR DPT
Practice Location Address:

1075 S IDAHO RD STE 210
APACHE JUNCTION, AZ
85119-6405

Practice Phone: 480-983-0877
Practice Fax:

1255698817 — A BETTER LEARNING ENVIRONMENT LLC
Practice Location Address:

1075 S IDAHO RD STE 210B
APACHE JUNCTION, AZ
85119-6405

Practice Phone: 480-757-2253
Practice Fax:

1760834204 — DR. SAHAND VAFADARY M.D.
Practice Location Address:

1075 S IDAHO RD STE 206
APACHE JUNCTION, AZ
85119-6405

Practice Phone: 480-827-5005
Practice Fax: 480-827-5001

1740903632 — CHRISTINA COYNER DPT
Practice Location Address:

1075 S IDAHO RD STE 210
APACHE JUNCTION, AZ
85119-6405

Practice Phone: 480-983-0877
Practice Fax:

Directions to “ JOHN JEMUJEFF CHUA SELGA DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.