Provider Demographics
NPI:1104155134
Name:TOUCH OF HEALTH PHYSICAL THERAPY
Entity type:Organization
Organization Name:TOUCH OF HEALTH PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:RETAMOZA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:623-499-0999
Mailing Address - Street 1:602 W. UNION HILLS DRIVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027
Mailing Address - Country:US
Mailing Address - Phone:623-492-0999
Mailing Address - Fax:623-492-0888
Practice Address - Street 1:602 W UNION HILLS DR
Practice Address - Street 2:SUITE 7
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-6629
Practice Address - Country:US
Practice Address - Phone:623-492-0999
Practice Address - Fax:623-492-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-22
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2134208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ27631Medicare UPIN