=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093329617
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEGIN WITH BREATH, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/01/2020
-----------------------------------------------------
Last Update Date | 09/01/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 37 HAMPDEN RD
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28805-2421
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-333-9739
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 37 HAMPDEN RD
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28805-2421
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-333-9739
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | DR. ADAM F POTTS
-----------------------------------------------------
Credential | PT
-----------------------------------------------------
Telephone | 828-333-9739
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------