Whalio Doctors

NPI 1013151489

Elite Sports Therapy INC

Organisation Rehabilitation Clinic/Center Gilbert, AZ

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
Ambulatory Health Care Facilities Taxonomy 261QR0400X Licence 8028 (AZ)
Primary Care Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 8028 (AZ)

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.