Justin Keith Sanderson, PT, DPT | |
36397 N Gantzel Rd, San Tan Valley, AZ 85140-7335 | |
(480) 567-2987 | |
(480) 347-0240 |
Full Name | Justin Keith Sanderson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 36397 N Gantzel Rd, San Tan Valley, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487360954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 30975 (Arizona) | Primary |
Provider Name | Inbalance Pt Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760715866 PECOS PAC ID: 4284771767 Enrollment ID: O20091103000119 |
Mailing Address | Practice Location Address |
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Justin Keith Sanderson, PT, DPT 36397 N Gantzel Rd, San Tan Valley, AZ 85140-7335 Ph: (480) 567-2987 | Justin Keith Sanderson, PT, DPT 36397 N Gantzel Rd, San Tan Valley, AZ 85140-7335 Ph: (480) 567-2987 |
Andrea Ruth Jennings, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36397 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140 Phone: 480-567-2987 | |
Bryce Petersen, PT, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2510 E Hunt Hwy Ste 27, San Tan Valley, AZ 85143 Phone: 480-618-0480 Fax: 480-618-0481 | |
Eric L Shifley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 37591 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 Phone: 480-590-8504 | |
Jonathan Randall, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36397 N Gantzel Rd, #102, San Tan Valley, AZ 85140 Phone: 480-567-2987 Fax: 480-347-0240 | |
Elaina Nicole Quinn, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36397 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140 Phone: 480-567-2987 | |
Samantha Kilbourne, Physical Therapist Medicare: Medicare Enrolled Practice Location: 36397 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140 Phone: 480-567-2987 | |
Jim W Roarty, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 40601 N Gantzel Rd Ste 103, San Tan Valley, AZ 85140 Phone: 602-648-5444 Fax: 602-772-3801 |