Provider Demographics
NPI:1013666114
Name:PELVIS & BEYOND LLC
Entity Type:Organization
Organization Name:PELVIS & BEYOND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:406-390-1533
Mailing Address - Street 1:1310 EASTSIDE CENTRE CT STE 6264
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-2705
Mailing Address - Country:US
Mailing Address - Phone:406-390-1533
Mailing Address - Fax:
Practice Address - Street 1:1310 EASTSIDE CENTRE CT STE 6264
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-2705
Practice Address - Country:US
Practice Address - Phone:406-390-1533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care