Provider Demographics
NPI:1811388127
Name:JFA WESTHOVEN INC
Entity Type:Organization
Organization Name:JFA WESTHOVEN INC
Other - Org Name:EMBODY WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTHOVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-966-0959
Mailing Address - Street 1:2245 S REYNOLDS RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1414
Mailing Address - Country:US
Mailing Address - Phone:419-419-9928
Mailing Address - Fax:
Practice Address - Street 1:2245 S REYNOLDS RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-1414
Practice Address - Country:US
Practice Address - Phone:419-419-9928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy