Organization
PIVOTAL HEALTH & WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN LYNN CARLSON (COO)
(785) 955-0670
Entity
Organization
Contact information
Practice address
314 MAIN ST, COURTLAND, KS 66939-3024
(785) 955-0670
Mailing address
314 MAIN ST, COURTLAND, KS 66939-3024
(785) 955-0670
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A-079-005
—
KS
Enumeration date
08/31/2022
Last updated
05/15/2024
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