OrganizationActive
Golden Years Physical Therapy LLC
NPI 1306610100 · Geriatric Physical Therapist · Mesa, AZ
Provider details
- NPI number
- 1306610100
- Entity type
- Organization
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Derham, Physical Therapist(425) 750-9526
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
11453 E Reuben Ave
Mesa, AZ 85212-4113
Phone: (425) 750-9526
Approximate (ZIP-level) locationGet directions
Mailing address
11453 E Reuben Ave
Mesa, AZ 85212-4113
Registry dates
- Enumerated
- 2023-11-13
- Last updated
- 2023-11-13
- Certified
- 2023-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.