Healthcare Provider Details
I. General information
NPI: 1720005242
Provider Name (Legal Business Name): TOTAL HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/17/2006
Last Update Date: 07/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1018 NORTH AVE
BATTLE CREEK MI
49017
US
IV. Provider business mailing address
1018 NORTH AVE
BATTLE CREEK MI
49017-3177
US
V. Phone/Fax
- Phone: 269-968-0888
- Fax: 269-968-5975
- Phone: 269-968-0888
- Fax: 269-968-5975
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
GLENNDA
ANN
CHAWDHRY
Title or Position: OWNER VP OF OPERATIONS
Credential: RN BSNH CMT
Phone: 269-968-0888