MEDICARE: BETTER LIVING PHYSICAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501010073	MI

General Provider Information

NPI Number	:	1043515109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTER LIVING PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	5708 N BEECH DALY RD
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5708 N BEECH DALY RD
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3000
Country	:	US
Telephone Number	:	313-571-5772
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST, MANAGING MEMBER
Name	:	MR. WILLIAM FARR
Credential	:	MPT, OMPT
Telephone Number	:	313-443-6908

Provider Enumeration Date	:	01/21/2011
Last Update Date	:	04/18/2011

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