Provider Demographics
NPI:1386481158
Name:ANTI-FRAGILE PHYSICAL THERAPY
Entity type:Organization
Organization Name:ANTI-FRAGILE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT, COO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEADOWS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:828-242-0343
Mailing Address - Street 1:959 MERRIMON AVE, STE 103
Mailing Address - Street 2:
Mailing Address - City:ASHVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804
Mailing Address - Country:US
Mailing Address - Phone:828-242-0343
Mailing Address - Fax:828-237-4866
Practice Address - Street 1:959 MERRIMON AVE, STE 103
Practice Address - Street 2:
Practice Address - City:ASHVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804
Practice Address - Country:US
Practice Address - Phone:828-242-0343
Practice Address - Fax:828-237-4866
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANTI-FRAGILE PHYSICAL THERAPY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-10
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty