MEDICARE: TOTAL HEALTH CENTER HASTINGS INC

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

General Provider Information

NPI Number	:	1578580080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL HEALTH CENTER HASTINGS INC

Provider Business Mailing Address
First Line	:	1018 NORTH AVE
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49017
Country	:	US
Telephone Number	:	269-968-0888
Fax Number	:	269-968-5975

Provider Business Practice Location Address
First Line	:	4294 LAUREL DR
Second Line	:	STE 2
City	:	LAKE ODESSA
State	:	MI
Zip	:	48849
Country	:	US
Telephone Number	:	616-374-0099
Fax Number	:	616-374-0080

Authorized Official
Title or Position	:	OWNER VP OF OPERATIONS
Name	:	MRS. GLENNDA ANN CHAWDHRY
Credential	:	RN BSNH CMT
Telephone Number	:	269-968-0888

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	08/22/2020

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