Provider Demographics
NPI:1962093708
Name:LIFE UNLIMITED THERAPY AND WELLNESS, LLC
Entity type:Organization
Organization Name:LIFE UNLIMITED THERAPY AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIERE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:419-953-5416
Mailing Address - Street 1:14081 CONOVER RD
Mailing Address - Street 2:
Mailing Address - City:YORKSHIRE
Mailing Address - State:OH
Mailing Address - Zip Code:45388-9713
Mailing Address - Country:US
Mailing Address - Phone:419-953-5416
Mailing Address - Fax:
Practice Address - Street 1:14081 CONOVER RD
Practice Address - Street 2:
Practice Address - City:YORKSHIRE
Practice Address - State:OH
Practice Address - Zip Code:45388-9713
Practice Address - Country:US
Practice Address - Phone:419-953-5416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty