Provider Demographics
NPI:1346922655
Name:LIFESTYLE HEALTH THERAPIES LLC
Entity type:Organization
Organization Name:LIFESTYLE HEALTH THERAPIES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED BUSINESS OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:FRIEDA
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:M PT
Authorized Official - Phone:319-382-2743
Mailing Address - Street 1:660 WEST CHERRY STREET
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-9029
Mailing Address - Country:US
Mailing Address - Phone:319-382-2743
Mailing Address - Fax:319-359-4114
Practice Address - Street 1:660 WEST CHERRY STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-9029
Practice Address - Country:US
Practice Address - Phone:319-382-2743
Practice Address - Fax:319-359-4114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty