Provider Demographics
NPI:1811508138
Name:ELEVATE HEALTH, LLC
Entity type:Organization
Organization Name:ELEVATE HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:SKAW
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:906-250-2196
Mailing Address - Street 1:1003 COUNTY ROAD 480
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-9677
Mailing Address - Country:US
Mailing Address - Phone:906-250-2196
Mailing Address - Fax:
Practice Address - Street 1:601 N 3RD ST
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-3519
Practice Address - Country:US
Practice Address - Phone:715-575-1202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy