Provider Demographics
NPI:1215479084
Name:TRUE NORTH PHYSICAL THERAPY AND WELLNESS, LLC
Entity type:Organization
Organization Name:TRUE NORTH PHYSICAL THERAPY AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:SELEE
Authorized Official - Last Name:CHOPPA
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:256-924-0881
Mailing Address - Street 1:805 MADISON ST SE
Mailing Address - Street 2:SUITE E1
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4419
Mailing Address - Country:US
Mailing Address - Phone:256-924-0881
Mailing Address - Fax:256-585-2898
Practice Address - Street 1:805 MADISON ST SE
Practice Address - Street 2:SUITE E1
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4419
Practice Address - Country:US
Practice Address - Phone:256-924-0881
Practice Address - Fax:256-585-2898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-10
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH7418261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy