Provider Demographics
NPI:1265928683
Name:EXCEL THERAPY & CONDITIONING, LLC
Entity type:Organization
Organization Name:EXCEL THERAPY & CONDITIONING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HULSEBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:413-366-1717
Mailing Address - Street 1:2826 BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095-1807
Mailing Address - Country:US
Mailing Address - Phone:413-366-1717
Mailing Address - Fax:413-579-6853
Practice Address - Street 1:2826 BOSTON RD
Practice Address - Street 2:
Practice Address - City:WILBRAHAM
Practice Address - State:MA
Practice Address - Zip Code:01095-1807
Practice Address - Country:US
Practice Address - Phone:413-366-1717
Practice Address - Fax:413-579-6853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-09
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty