Provider Demographics
NPI:1043658073
Name:GET HEALTHY, LLC
Entity Type:Organization
Organization Name:GET HEALTHY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:J
Authorized Official - Last Name:STOVALL
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:3378-463-5777
Mailing Address - Street 1:109 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:DERIDDER
Mailing Address - State:LA
Mailing Address - Zip Code:70634-4061
Mailing Address - Country:US
Mailing Address - Phone:337-463-5777
Mailing Address - Fax:
Practice Address - Street 1:109 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:DERIDDER
Practice Address - State:LA
Practice Address - Zip Code:70634-4061
Practice Address - Country:US
Practice Address - Phone:337-463-5777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAE3144225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty