- Practice location
- 14 Louis Ln., Southport, ME 04576
- Phone
- 513-739-2422
- Fax
- —
- Last updated
- August 4, 2021
Tidal Wellness LLC is a healthcare organization based in Southport, ME. Tidal Wellness LLC practices in Southport, ME. The NPI Number for Tidal Wellness LLC is 1679247571. The current practice location address for Tidal Wellness LLC is 14 Louis Ln., Southport, ME 04576 and can be reached out via phone at 513-739-2422.
Provider Profile Details
- NPI Number
- 1679247571
- Provider Name
- Tidal Wellness LLC
- Provider Entity Type
- Organization
- Address
- 14 Louis Ln., Southport, ME 04576
- Phone Number
- 513-739-2422
- Primary Taxonomy
- Physical Therapist, Orthopedic · 2251X0800X
- Organization Subpart
- No
- Authorized Official
- Eden Climo, PT, DPT · Ceo, Physical Therapist · 513-739-2422
- Provider Enumeration Date
- August 4, 2021
- Last Update Date
- August 4, 2021
- Certification Date
- July 10, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Louis Ln.
Southport, ME 04576 - City
- Southport
- State
- Maine
- Zip
- 04576
- Phone Number
- 513-739-2422
Provider Business Mailing Address Details
- Address
- Po Box 395
Southport, ME 04576-0395 - City
- Southport
- State
- ME
- Zip
- 04576-0395
- Phone Number
- 513-739-2422
License Information
- Taxonomy
- Physical Therapist, Orthopedic · 2251X0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapist, Orthopedic providers near Southport, ME
View all Physical Therapist, Orthopedic providers in Southport →Frequently Asked Questions
What is the NPI number of Tidal Wellness LLC?
The NPI number of Tidal Wellness LLC is 1679247571. It was assigned on August 4, 2021 and is currently active in the NPPES registry.
What is the specialty of Tidal Wellness LLC?
Tidal Wellness LLC is registered under the primary taxonomy Physical Therapist, Orthopedic (code 2251X0800X).
Where does Tidal Wellness LLC practice?
The practice location is 14 Louis Ln., Southport, ME 04576. The office can be reached at 513-739-2422 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679247571 directly on the NPPES registry website.