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Mr. John Richard Antoni, PT
Orthopedic Physical Therapist in Show Low, Arizona
NPI 1639365125

John Richard Antoni is a Orthopedic Physical Therapist based in Show Low, AZ and is specialized in Orthopedic. John Richard Antoni practices in Show Low, AZ and has the professional credentials of PT. The NPI Number for John Richard Antoni is 1639365125 and holds a License No. 2451 (Arizona).

The current practice location address for John Richard Antoni is 4800 S White Mountain Rd, Show Low, AZ and can be reached out via phone at 928-537-8766 and via fax at 928-537-8786.

Location: 4800 S White Mountain Rd, Show Low, AZ, 85901-7876
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639365125
Provider Name
John Richard Antoni
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
4800 S White Mountain Rd, Show Low, AZ, 85901-7876
Phone Number
928-537-8766
Fax Number
928-537-8786
Provider Enumeration Date
09/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
134221 01 AZ NEAZ
19-099814 01 AZ STATE COMPENSATION FUND
134221 01 AZ AHCCS
6400 01 AZ HUMANA
AZ0298660 01 AZ BLUE CROSS/ BLUE SHIELD
DA4951 01 AZ RAILROAD MEDICARE
134221 01 AZ APIPA
institution
Provider Business Practice Location Address Details
Address
4800 S White Mountain Rd
City
Show Low
State
Arizona
Zip
85901-7876
Phone Number
928-537-8766
Fax Number
928-537-8786
person
Provider Business Mailing Address Details
Address
4800 S White Mountain Rd
City
Show Low
State
Arizona
Zip
85901-7876
Phone Number
928-537-8766
Fax Number
928-537-8786
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
2451 (Arizona)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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