Healthcare Provider Details

I. General information

NPI: 1104694108
Provider Name (Legal Business Name): ANTI-FRAGILE PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

959 MERRIMON AVE STE 103
ASHEVILLE NC
28804-2366
US

IV. Provider business mailing address

959 MERRIMON AVE STE 103
ASHEVILLE NC
28804-2366
US

V. Phone/Fax

Practice location:
  • Phone: 828-242-0343
  • Fax:
Mailing address:
  • Phone: 828-242-0343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY MEADOWS
Title or Position: COO
Credential:
Phone: 828-242-0343