Lakeside Physical Therapy & Fitness Center
Physical Therapist in Tamworth, NH. Organization (NPI-2).
NPI number1386957843
StatusActive
Last updated in NPPESApr 4, 2024
Details
- NPI
- 1386957843
- Entity type
- Organization (NPI-2)
- Legal business name
- Lakeside Physical Therapy & Fitness Center
- Organization subpart
- No
- Enumeration date
- Jul 26, 2010
- Certification date
- Apr 4, 2024
- Last updated
- Apr 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1953 | NH | Yes |
Practice location
685 White Mountain HwyTamworth, NH 03886-4638
Phone 603-323-2089 · Fax 603-323-2097
Mailing address
685 White Mountain HwyTamworth, NH 03886-4638
Phone 603-323-2089 · Fax 603-323-2097
Other practice locations
680 White Mountain Hwy
Tamworth, NH 03886-4625
Tamworth, NH 03886-4625
Phone 603-323-2089 · Fax 603-323-2097
Authorized official
Jack Tomasz Hadam
President
6033232089
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.