Provider Demographics
NPI:1003167131
Name:SIMPLY BE WELL LLC
Entity Type:Organization
Organization Name:SIMPLY BE WELL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, NCTMB, HHC
Authorized Official - Phone:610-584-2439
Mailing Address - Street 1:1246 COLLEGEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SKIPPACK
Mailing Address - State:PA
Mailing Address - Zip Code:19474
Mailing Address - Country:US
Mailing Address - Phone:610-584-2439
Mailing Address - Fax:610-584-4204
Practice Address - Street 1:1246 COLLEGEVILLE RD
Practice Address - Street 2:
Practice Address - City:SKIPPACK
Practice Address - State:PA
Practice Address - Zip Code:19474
Practice Address - Country:US
Practice Address - Phone:610-584-2439
Practice Address - Fax:610-584-4204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty