Provider Demographics
NPI:1679104467
Name:BETTER LIFE HEART THERAPY INC
Entity type:Organization
Organization Name:BETTER LIFE HEART THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUBLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-428-6693
Mailing Address - Street 1:13 WOODRUFF LN
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-9541
Mailing Address - Country:US
Mailing Address - Phone:501-428-6693
Mailing Address - Fax:
Practice Address - Street 1:7 MEDICAL LN STE C
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-4918
Practice Address - Country:US
Practice Address - Phone:501-428-6693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0404XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities