Provider Demographics
NPI:1790881415
Name:FUNCTION BETTER THERAPY SERVICES
Entity Type:Organization
Organization Name:FUNCTION BETTER THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT, CFCE
Authorized Official - Phone:276-591-5484
Mailing Address - Street 1:PO BOX 16937
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:VA
Mailing Address - Zip Code:24209-6937
Mailing Address - Country:US
Mailing Address - Phone:276-591-5484
Mailing Address - Fax:276-591-5477
Practice Address - Street 1:136 BRISTOL EAST RD
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24202-5500
Practice Address - Country:US
Practice Address - Phone:276-591-5484
Practice Address - Fax:276-591-5477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4092102OtherBLUE CROSS TENNESSEE
VADC8170OtherRAILROAD MEDICARE
VA7263754OtherAETNA INS.
VA193651OtherANTHEM BLUE CROSS
VADC8170OtherRAILROAD MEDICARE