Provider Demographics
NPI:1689442550
Name:JS WELLNESS LLC
Entity Type:Organization
Organization Name:JS WELLNESS LLC
Other - Org Name:FYZICAL THERAPY & BALANCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANG JUN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-337-7037
Mailing Address - Street 1:1908 S BAGDAD RD STE B
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-2829
Mailing Address - Country:US
Mailing Address - Phone:512-337-7037
Mailing Address - Fax:512-518-2022
Practice Address - Street 1:1908 S BAGDAD RD STE B
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-2829
Practice Address - Country:US
Practice Address - Phone:512-337-7037
Practice Address - Fax:512-518-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty