Provider Demographics
NPI:1447430632
Name:BETTER BODY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:BETTER BODY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST; CLINICAL DIRECT
Authorized Official - Prefix:MISS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:513-420-9999
Mailing Address - Street 1:4421 ROOSEVELT BLVD
Mailing Address - Street 2:STE J
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-9023
Mailing Address - Country:US
Mailing Address - Phone:513-420-9999
Mailing Address - Fax:877-430-7975
Practice Address - Street 1:4421 ROOSEVELT BLVD
Practice Address - Street 2:STE J
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-9023
Practice Address - Country:US
Practice Address - Phone:513-420-9999
Practice Address - Fax:877-430-7975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy