Organization Name: | THERAPY PLUS |
NPI Number: | 1003014598 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY JAY FERRIS (PHYSICAL THERAPIST) |
Mailing Address: | 1015 Campbell Way Seymour |
State: | TN US |
Postal Code: | 378656615 |
Phone Number: | 8655735557 |
Fax Number: | 8655223218 |
NPI Enumeration Date: | 07/05/2007 |
NPI Last Update Date: | 02/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 3641 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |