Provider Demographics
NPI:1871650952
Name:MUSCLE THERAPY CONCEPTS
Entity Type:Organization
Organization Name:MUSCLE THERAPY CONCEPTS
Other - Org Name:MEILUS MUSCLE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-540-1933
Mailing Address - Street 1:550 PINETOWN RD STE 236
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-2607
Mailing Address - Country:US
Mailing Address - Phone:215-540-1933
Mailing Address - Fax:215-540-9089
Practice Address - Street 1:550 PINETOWN RD STE 236
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-2607
Practice Address - Country:US
Practice Address - Phone:215-540-1933
Practice Address - Fax:215-540-9089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005865L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2121957000Medicare UPIN