Evolution Physical Therapy And Wellness
LBN: Evolution Physical Therapy & Wellness Llc
Evolution Physical Therapy And Wellness is an health care organization with primary practice located at 130 W Berryhill Dr , Grass Valley CA 95945-5835. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Evolution Physical Therapy & Wellness Llc can be contacted via phone (530) 205-9538, or through Smith, Miranda via phone (530) 205-9538.
Contact Information
Primary practice address
130 W Berryhill Dr
Grass Valley CA 95945-5835
Phone: (530) 205-9538
Fax: (530) 460-1841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1578022869 |
|---|---|
| LBN Legal business name | Evolution Physical Therapy & Wellness Llc |
| DBA Doing business as | Evolution Physical Therapy And Wellness |
| Authorized official | Smith, Miranda |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2019 |
| Last updated | Dec 14th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578022869 | NPPES |
| California | Other | 27297 | PHYSICAL THERAPY LICENSE |
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