Provider Demographics
NPI:1962129312
Name:THRIVE THERAPY AND WELLNESS LLC
Entity type:Organization
Organization Name:THRIVE THERAPY AND WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:812-717-3731
Mailing Address - Street 1:2566 UNION DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-8620
Mailing Address - Country:US
Mailing Address - Phone:812-717-3731
Mailing Address - Fax:812-418-9889
Practice Address - Street 1:2566 UNION DR
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-8620
Practice Address - Country:US
Practice Address - Phone:812-717-3731
Practice Address - Fax:812-418-9889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty