Provider Demographics
NPI:1851910129
Name:TOTAL DIMENSIONS THERAPY & WELLNESS PLC
Entity Type:Organization
Organization Name:TOTAL DIMENSIONS THERAPY & WELLNESS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:563-343-0183
Mailing Address - Street 1:105 1ST AVE NW
Mailing Address - Street 2:
Mailing Address - City:PRESTON
Mailing Address - State:IA
Mailing Address - Zip Code:52069-9512
Mailing Address - Country:US
Mailing Address - Phone:563-343-0183
Mailing Address - Fax:
Practice Address - Street 1:53408 50TH ST
Practice Address - Street 2:
Practice Address - City:MILES
Practice Address - State:IA
Practice Address - Zip Code:52064-9532
Practice Address - Country:US
Practice Address - Phone:563-343-0183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty