Therapeutic By Design Fitness And Wellness, Llc
LBN: Therapeutic By Design Fitness And Wellness, Llc
Therapeutic By Design Fitness And Wellness, Llc is an health care organization with primary practice located at 1901 Highway 190 Ste 26 , Mandeville LA 70448-3495. 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.
Therapeutic By Design Fitness And Wellness, Llc can be contacted via phone (985) 778-2282, or through Fabre Fairley, Jennifer Marie via phone (985) 778-2282.
Contact Information
Primary practice address
1901 Highway 190 Ste 26
Mandeville LA 70448-3495
Phone: (985) 778-2282
Fax: (866) 767-8329
Website:
Authorized official contact:
Name: Fabre Fairley, Jennifer Marie P.T., PH.D., CSCS
Phone: (985) 778-2282
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 04964 | Louisiana |
Profile Details
| NPI number | 1790780120 |
|---|---|
| LBN Legal business name | Therapeutic By Design Fitness And Wellness, Llc |
| DBA Doing business as | |
| Authorized official | Fabre Fairley, Jennifer Marie P.T., PH.D., CSCS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Sep 1st, 2022 - about 3 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 | 1790780120 | NPPES |
| Louisiana | MEDICAID | 1715026 |
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