Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside Physical Therapy, Rehab & Sports Medicine

Organization Athletic Trainer · NPI 1154780633

Lakeside Physical Therapy, Rehab & Sports Medicine is an Athletic Trainer in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016

Practice location Address checks out

25 Riviera Blvd
Lake Havasu City, AZ 86403-5694
Phone: (928) 505-5555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1448 (AZ)

Record details

NPI number1154780633
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristina Horton — Office Manager · (928) 855-4248
Other names Lakeside Orthopedic Institute
NPI enumeratedFebruary 12, 2016
Last updated in NPPESFebruary 12, 2016
Mailing address1791 Mesquite Ave, Lake Havasu City, AZ 86403-5648

Other providers in Lake Havasu City