Provider Demographics
NPI:1093057853
Name:FOR YOUR HEALTH LLC
Entity Type:Organization
Organization Name:FOR YOUR HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PPHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:SEPESKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-684-4150
Mailing Address - Street 1:1295 GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:MONESSEN
Mailing Address - State:PA
Mailing Address - Zip Code:15062-1955
Mailing Address - Country:US
Mailing Address - Phone:724-684-4150
Mailing Address - Fax:724-684-4189
Practice Address - Street 1:1295 GRAND BLVD
Practice Address - Street 2:
Practice Address - City:MONESSEN
Practice Address - State:PA
Practice Address - Zip Code:15062-1955
Practice Address - Country:US
Practice Address - Phone:724-684-4150
Practice Address - Fax:724-684-4189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD065930L208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty