NPI 1013151489
Elite Sports Therapy INC
Practice location
- Address
- 1184 N Gilbert Rd STE 100, Gilbert, AZ 85234-2476
- Phone
- (480) 390-1962
Authorised official
- Name
- Daniel William Rae
- Title
- Medical Director/Owner
- Phone
- (480) 390-1962
Registered specialties (2)
Rehabilitation Clinic/Center
Primary
Primary Care Clinic/Center
Registry record
- NPI
- 1013151489
- Entity type
- Organization
- NPI issued
- 28 Apr 2009
- Record last updated
- 28 Apr 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.