Provider Demographics
NPI:1639728363
Name:EMPOWER PHYSIO AND WELLNESS, LLC
Entity Type:Organization
Organization Name:EMPOWER PHYSIO AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:513-476-5926
Mailing Address - Street 1:3494 MARINERS WAY
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-8932
Mailing Address - Country:US
Mailing Address - Phone:513-476-5926
Mailing Address - Fax:
Practice Address - Street 1:3494 MARINERS WAY
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-8932
Practice Address - Country:US
Practice Address - Phone:513-476-5926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy