Healthcare Provider Details

I. General information

NPI: 1629984174
Provider Name (Legal Business Name): UPLIFT HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 VOSE FARM RD STE 100
PETERBOROUGH NH
03458-2154
US

IV. Provider business mailing address

PO BOX 332
JAFFREY NH
03452-0332
US

V. Phone/Fax

Practice location:
  • Phone: 603-633-8451
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHELSIE FUKUDA
Title or Position: OWNER
Credential: PT, DPT
Phone: 603-633-8451