# VIBRALIFE OF KATY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VibraLife of Katy Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679075972
- **Authorized official:** MICHAEL BEAVER (PRESIDENT)
- **Authorized official phone:** (717) 591-5704

## Contact information

- **Practice address:** 1222 PARK WEST GREEN DR, KATY, TX 77493-3654
- **Practice address phone:** (717) 591-5700
- **Mailing address:** 4600 LENA DR, MECHANICSBURG, PA 17055-4904
- **Mailing address phone:** (717) 591-5704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2018
- **Last updated:** 03/02/2018