Provider Demographics
NPI:1659643401
Name:FLEXIBILITY FOR LIFE LLC
Entity Type:Organization
Organization Name:FLEXIBILITY FOR LIFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:GAY
Authorized Official - Last Name:HARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:256-603-7360
Mailing Address - Street 1:150 OLETIMERS RD
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-8564
Mailing Address - Country:US
Mailing Address - Phone:256-603-7360
Mailing Address - Fax:256-851-7262
Practice Address - Street 1:2302 STARMOUNT CIR SW
Practice Address - Street 2:STE D
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3816
Practice Address - Country:US
Practice Address - Phone:256-603-7360
Practice Address - Fax:256-851-7262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH2546225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty