Provider Demographics
NPI:1942447297
Name:IMF2, INC.
Entity type:Organization
Organization Name:IMF2, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:UNDERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:704-660-0096
Mailing Address - Street 1:484 RIVER HWY
Mailing Address - Street 2:UNIT C
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-6828
Mailing Address - Country:US
Mailing Address - Phone:704-660-0096
Mailing Address - Fax:
Practice Address - Street 1:484 RIVER HWY
Practice Address - Street 2:UNIT C
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-6828
Practice Address - Country:US
Practice Address - Phone:704-660-0096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy