BOB WALLACE WELLNESS AND REHAB CENTER INC (NPI# 1497987192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497987192 |
| Entity Type | Organization |
| Organization Name | BOB WALLACE WELLNESS AND REHAB CENTER INC |
| Practice Address |
3316 Bob Wallace Ave Sw Huntsville AL 35805-4008 |
| Practice Telephone | 2565369177 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |
| Authorized Official Name | LORI JONES (PRESIDENT/CEO) |
| Authorized Official Telephone | 2565369177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
3316 BOB WALLACE AVE SW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35805-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373264 | Kreative Kare In Home Services Inc | Driver | 2905 Westcorp Blvd Suite 213-d, Huntsville, AL 35805 | 2019-12-20 |
| 1871015479 | Kathryn Renee Garcia | Nurse Practitioner | 2806 Artie Street Sw, Unit 3, Huntsville, AL 35805 | 2017-07-14 |
| 1356885362 | Valley Spine and Pain LLC | Physical Medicine & Rehabilitation | 2227 Drake Ave Sw Ste 7b, Huntsville, AL 35805 | 2016-12-09 |
| 1518325612 | Candace Ann Hatcher | Speech-Language Pathologist | 411 Mcallister Drive Sw, Huntsville, AL 35805 | 2016-02-03 |
| 1073799862 | Landmark Chiropractic, Inc. | Chiropractor | 2400 Bob Wallas Avenue, Suite 101, Huntsville, AL 35805 | 2008-01-11 |
| 1245431501 | Sean Patrick Wallis | Chiropractor | 2915 Bob Wallace Ave Sw, Suite B, Huntsville, AL 35805 | 2007-05-31 |
| 1194937862 | Sara Mirza | Family Medicine | 500 Markaview Rd. Nw, Huntsville, AL 35805 | 2007-05-04 |
| 1548308679 | Claudia Elisabetta Agnew | Physician Assistant | 3601 Cci Dr., Huntsville, AL 35805 | 2007-02-01 |
| 1376613745 | North Alabama Pet Scan LLC | Radiologic Technologist | 3601 Cci Drive Nw, Huntsville, AL 35805 | 2006-11-09 |
| 1821028325 | Tracy Glen Bagwell | Chiropractor | 2227 Drake Avenue, Suite 13, Huntsville, AL 35805 | 2006-07-03 |
| Find all providers in zip 35805 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550702 | Good Samaritan Clinic Inc | Clinic/Center | 810 Shoney Dr Sw Ste 105, Huntsville, AL 35801-5450 | 2020-05-19 |
| 1053703843 | Encore Rehabilitation, Inc. | Clinic/Center | 600 Whitesport Dr Sw Ste C, Huntsville, AL 35801-6494 | 2015-03-03 |
| 1972870186 | Agilitas Usa, Inc | Clinic/Center | 4601 Whitesburg Dr Se Ste 102, Huntsville, AL 35802-1677 | 2011-11-17 |
| 1942240312 | Arc Therapy Services LLC | Clinic/Center | 2815 Carl T Jones Dr Se, Huntsville, AL 35802-1258 | 2006-06-07 |
| 1801411624 | Godspeed Esa Hoover Inc. | Clinic/Center | 7242 Bailey Cove Rd Se, Huntsville, AL 35802-2746 | 2020-06-09 |
| 1215479084 | True North Physical Therapy and Wellness, LLC | Clinic/Center | 805 Madison St Se, Suite E1, Huntsville, AL 35801-4419 | 2016-11-10 |
| 1649639303 | Agilitas Usa, Inc | Clinic/Center | 11310 Memorial Pkwy Sw Ste L, Huntsville, AL 35803-2495 | 2016-02-23 |
| 1558737684 | Austin Physical Therapy | Clinic/Center | 2089 Cecil Ashburn Dr Se, Ste 202, Huntsville, AL 35802-2567 | 2015-08-12 |
| 1316323314 | Lifestyle Therapeutix | Clinic/Center | 4825 University Sq, Suite 9, Huntsville, AL 35816-1826 | 2015-08-03 |
| 1659751030 | Focus Physiotherapy, LLC | Clinic/Center | 1140 Eagletree Ln Sw, Huntsville, AL 35801-7428 | 2015-06-01 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35805 |
Please comment or provide details below to improve the information on BOB WALLACE WELLNESS AND REHAB CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.