Provider Demographics
NPI:1861477341
Name:JAN SALGE'S BETTER BODIES PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:JAN SALGE'S BETTER BODIES PHYSICAL THERAPY, INC.
Other - Org Name:BETTER BODIES PHYSICAL THERAPY, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIBETH
Authorized Official - Middle Name:S
Authorized Official - Last Name:SALGE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, PT, ATC, CSCS
Authorized Official - Phone:321-633-9718
Mailing Address - Street 1:197 BOUGAINVILLEA DR STE C
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-2402
Mailing Address - Country:US
Mailing Address - Phone:321-633-9718
Mailing Address - Fax:321-633-9908
Practice Address - Street 1:197 BOUGAINVILLEA DR STE C
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-2402
Practice Address - Country:US
Practice Address - Phone:321-633-9718
Practice Address - Fax:321-633-9908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-07
Last Update Date:2014-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7824525OtherAETNA PPO
FL3430666OtherAETNA HMO
FLY903POtherBLUE CROSS BLUE SHIELD
FLY903POtherBLUE CROSS BLUE SHIELD