Provider Demographics
NPI:1164476545
Name:YOUNG BODY REHABILITATION, INC.
Entity type:Organization
Organization Name:YOUNG BODY REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:KEITH
Authorized Official - Suffix:
Authorized Official - Credentials:PT, PCS
Authorized Official - Phone:561-625-6860
Mailing Address - Street 1:5790 WHIRLAWAY RD
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-7738
Mailing Address - Country:US
Mailing Address - Phone:561-625-6860
Mailing Address - Fax:561-625-6859
Practice Address - Street 1:9091 N MILITARY TRL
Practice Address - Street 2:SUITE 11
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-5959
Practice Address - Country:US
Practice Address - Phone:561-625-6860
Practice Address - Fax:561-625-6859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy