Provider Demographics
NPI:1871145995
Name:RECOVERY WATERS PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:RECOVERY WATERS PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:907-795-4255
Mailing Address - Street 1:9061 E FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-9317
Mailing Address - Country:US
Mailing Address - Phone:907-795-4255
Mailing Address - Fax:907-802-6559
Practice Address - Street 1:9061 E FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-9317
Practice Address - Country:US
Practice Address - Phone:907-795-4255
Practice Address - Fax:907-802-6559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy