Provider Demographics
NPI:1588622765
Name:MAYLIPS INC.
Entity Type:Organization
Organization Name:MAYLIPS INC.
Other - Org Name:NANTAHALA PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:L
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-369-9103
Mailing Address - Street 1:96 MACON CENTER DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-6779
Mailing Address - Country:US
Mailing Address - Phone:828-369-9103
Mailing Address - Fax:828-369-9659
Practice Address - Street 1:96 MACON CENTER DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-6779
Practice Address - Country:US
Practice Address - Phone:828-369-9103
Practice Address - Fax:828-369-9659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC01434OtherBC PROVIDER #