Tidal Wellness Llc is a
Physical Therapist - Orthopedic based in Southport, Maine. Tidal Wellness Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
14 Louis Ln., Southport, Maine. It can be reached at their office (for appointments etc.) via phone at
(513) 739-2422.
NPI number for Tidal Wellness Llc is 1679247571 and their current mailing address is Po Box 395, Southport, Maine. Tidal Wellness Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1679247571.
Healthcare Provider's Profile
Full Name | Tidal Wellness Llc |
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Type | Facility |
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Speciality | Physical Therapist - Orthopedic |
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Location | 14 Louis Ln., Southport, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679247571
- Provider Enumeration Date: 08/04/2021
- Last Update Date: 08/04/2021
Medical Identifiers
Medical identifiers for Tidal Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679247571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tidal Wellness Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tidal Wellness Llc Po Box 395, Southport, ME 04576-0395 Ph: (513) 739-2422 | Tidal Wellness Llc 14 Louis Ln., Southport, ME 04576 Ph: (513) 739-2422 |
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