Provider Demographics
NPI:1023106044
Name:TOTAL BODY ZONE CORPORATION
Entity type:Organization
Organization Name:TOTAL BODY ZONE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEIBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-776-9662
Mailing Address - Street 1:3655 W ANTHEM WAY
Mailing Address - Street 2:SUITE A109 BOX 272
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-0430
Mailing Address - Country:US
Mailing Address - Phone:623-776-9662
Mailing Address - Fax:623-776-2813
Practice Address - Street 1:8440 W THUNDERBIRD RD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4803
Practice Address - Country:US
Practice Address - Phone:623-776-9662
Practice Address - Fax:623-776-2813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty