The Lifestyle Athlete Plc

LBN: The Lifestyle Athlete Plc
The Lifestyle Athlete Plc is an health care organization with primary practice located at 1879 Williston Rd , South Burlington VT 05403-6008. 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. The Lifestyle Athlete Plc can be contacted via phone (802) 338-1406, or through Baczewski, Casey via phone (802) 338-1406.

Contact Information

Primary practice address
1879 Williston Rd South Burlington VT 05403-6008
Phone: (802) 338-1406
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Baczewski, Casey Physical Therapist (PT)
Phone: (802) 338-1406

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1437778008
LBN Legal business name The Lifestyle Athlete Plc
DBA Doing business as
Authorized official Baczewski, Casey Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2020
Last updated Apr 13th, 2020 - about 5 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.

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