Provider Demographics
NPI:1396014296
Name:WELLFIT REHABILITATION AND AQUATICS LLC
Entity type:Organization
Organization Name:WELLFIT REHABILITATION AND AQUATICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:216-409-3979
Mailing Address - Street 1:671 COLUMBIA RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1477
Mailing Address - Country:US
Mailing Address - Phone:216-409-3979
Mailing Address - Fax:
Practice Address - Street 1:671 COLUMBIA RD
Practice Address - Street 2:SUITE 2
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1477
Practice Address - Country:US
Practice Address - Phone:216-409-3979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty