LEFT OF BANG LCC
NPI 1730651969
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Show Low, AZ

Active since December 28, 2018
1201 E COOLEY ST STE D, SHOW LOW, AZ 85901(928) 826-3833 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Left Of Bang Lcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEFT OF BANG LCC (NPI 1730651969) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Show Low, Arizona and active in the NPI registry since December 2018. The organization lists Brock M Bevell, Director, as its authorized official.

NPPES Registry Identity

NPI1730651969
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameLEFT OF BANG LCC
Location Address1201 E COOLEY ST STE DShow Low, AZ 85901-5145
Mailing Address1201 E Cooley St Ste DShow Low, AZ 85901-5145 · (928) 826-3833
Organization SubpartNo
Authorized OfficialBrock M BevellDirector · (928) 826-3833
Enumeration DateDecember 28, 2018
NPI 1730651969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code261QR0401X
1201 E COOLEY ST STE D, Show Low, AZ 85901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730651969, enumerated as an "organization" on December 28, 2018.

The provider is located at 1201 E COOLEY ST STE D SHOW LOW, AZ 85901 and the phone number is (928) 826-3833.

Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).