Provider Demographics
NPI:1730813460
Name:MORE THAN PHYSICAL THERAPY, INC
Entity type:Organization
Organization Name:MORE THAN PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIELLA
Authorized Official - Middle Name:LEANNA
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:559-259-7532
Mailing Address - Street 1:287 W BARSTOW AVE APT 130B
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-1647
Mailing Address - Country:US
Mailing Address - Phone:559-259-7532
Mailing Address - Fax:
Practice Address - Street 1:287 W BARSTOW AVE APT 130B
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-1647
Practice Address - Country:US
Practice Address - Phone:559-259-7532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-09
Last Update Date:2022-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty