Healthcare Provider Details
I. General information
NPI: 1831933944
Provider Name (Legal Business Name): MORE ABOUT YOU PHYSICAL THERAPY AND WELLNESS CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2024
Last Update Date: 07/12/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2405 W CALDWELL AVE
VISALIA CA
93277-8055
US
IV. Provider business mailing address
2405 W CALDWELL AVE
VISALIA CA
93277-8055
US
V. Phone/Fax
- Phone: 559-731-1585
- Fax: 855-551-3927
- Phone: 559-731-1585
- Fax: 855-551-3927
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251P0200X |
| Taxonomy | Pediatric Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LYNZIE
ASUNCION
Title or Position: OWNER
Credential: PT, DPT
Phone: 559-731-1585