Provider Demographics
NPI:1053131359
Name:EXHALE SPINE & PELVIC WELLNESS
Entity type:Organization
Organization Name:EXHALE SPINE & PELVIC WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PT
Authorized Official - Prefix:
Authorized Official - First Name:MARIELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIQUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-310-8835
Mailing Address - Street 1:8172 PIONEER RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4618
Mailing Address - Country:US
Mailing Address - Phone:561-310-8835
Mailing Address - Fax:
Practice Address - Street 1:8172 PIONEER RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4618
Practice Address - Country:US
Practice Address - Phone:561-310-8835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-12
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy