Healthcare Provider Details

I. General information

NPI: 1316410517
Provider Name (Legal Business Name): JOINT VENTURES WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2019
Last Update Date: 01/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

491 E BRUCETON RD SUITE 101
PLEASANT HILLS PA
15236
US

IV. Provider business mailing address

PO BOX 791
CARNEGIE PA
15106-0791
US

V. Phone/Fax

Practice location:
  • Phone: 412-427-4488
  • Fax:
Mailing address:
  • Phone: 412-655-4362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KRISTYN BILLINGS
Title or Position: INSURANCE
Credential:
Phone: 412-655-4362