Provider Demographics
NPI:1669157525
Name:THE PELVIC DOCS, LLC
Entity type:Organization
Organization Name:THE PELVIC DOCS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:O
Authorized Official - Last Name:FLANNAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:602-821-8883
Mailing Address - Street 1:580 N CAMINO MERCADO STE 25
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-5757
Mailing Address - Country:US
Mailing Address - Phone:520-840-0333
Mailing Address - Fax:888-381-6179
Practice Address - Street 1:2020 N CENTRAL AVE STE 550
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-4578
Practice Address - Country:US
Practice Address - Phone:855-331-7522
Practice Address - Fax:888-381-6170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty