Healthcare Provider Details

I. General information

NPI: 1306515713
Provider Name (Legal Business Name): MAX HEALTH THERAPIES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2021
Last Update Date: 09/09/2021
Certification Date: 09/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 ROUTE 18 STE 203
OLD BRIDGE NJ
08857-3777
US

IV. Provider business mailing address

1405 ROUTE 18 STE 203
OLD BRIDGE NJ
08857-3777
US

V. Phone/Fax

Practice location:
  • Phone: 732-967-0900
  • Fax:
Mailing address:
  • Phone: 732-967-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MORGAN LOCKER
Title or Position: OWNER
Credential: PT, DPT
Phone: 732-995-0952