Provider Demographics
NPI:1518273655
Name:TRANSFORMATIONAL REHAB & BODYWORK SERVICES, INC.
Entity Type:Organization
Organization Name:TRANSFORMATIONAL REHAB & BODYWORK SERVICES, INC.
Other - Org Name:VIBRANT HEALTH TRANSFORMATIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:YASHPAL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHHABRA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:810-922-9924
Mailing Address - Street 1:2485 E HILL RD
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-5096
Mailing Address - Country:US
Mailing Address - Phone:810-771-7366
Mailing Address - Fax:810-771-7369
Practice Address - Street 1:2485 E HILL RD
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-5096
Practice Address - Country:US
Practice Address - Phone:810-771-7366
Practice Address - Fax:810-771-7369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501007418261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation