Provider Demographics
NPI:1124246723
Name:RAINBOW THERAPY SERVICES
Entity type:Organization
Organization Name:RAINBOW THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BONNI
Authorized Official - Middle Name:
Authorized Official - Last Name:MOYER
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:602-320-0473
Mailing Address - Street 1:6252 E BEVERLY LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1355
Mailing Address - Country:US
Mailing Address - Phone:602-320-0473
Mailing Address - Fax:480-247-7704
Practice Address - Street 1:6252 E BEVERLY LN
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-1355
Practice Address - Country:US
Practice Address - Phone:602-320-0473
Practice Address - Fax:480-247-7704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5008225100000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered251E00000XAgenciesHome Health