Provider Demographics
NPI:1679337216
Name:ENJOY LIFE PHYSICAL THERAPY AND WELLNESS
Entity Type:Organization
Organization Name:ENJOY LIFE PHYSICAL THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOKI
Authorized Official - Middle Name:
Authorized Official - Last Name:TAHARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-722-7571
Mailing Address - Street 1:500 N COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1151
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 N COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1151
Practice Address - Country:US
Practice Address - Phone:603-722-7571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty