Provider Demographics
NPI:1003589516
Name:BOUT2BEBETTER PHYSICAL THERAPY INC.
Entity Type:Organization
Organization Name:BOUT2BEBETTER PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:DUXBURY
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:DRPH, PT, CSCS
Authorized Official - Phone:626-228-4696
Mailing Address - Street 1:24 N 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3205
Mailing Address - Country:US
Mailing Address - Phone:626-228-4696
Mailing Address - Fax:626-348-8926
Practice Address - Street 1:24 N 1ST AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3205
Practice Address - Country:US
Practice Address - Phone:626-228-4696
Practice Address - Fax:626-348-8926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-29
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty