Organization Name: | TOTAL BODY THERAPY & WELLNESS LLC |
NPI Number: | 1275708059 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARA SANTINA MORRISON (OWNER) |
Mailing Address: | 2 The Square At Lillington Lillington |
State: | NC US |
Postal Code: | 275468030 |
Phone Number: | 9108932850 |
Fax Number: | 9108932894 |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 01/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | NC 9146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |