Organization Name: | INTENSE THERAPY LLC |
NPI Number: | 1043643257 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA ITOE SLININGER (OWNER, INTENSE THERAPY LLC) |
Mailing Address: | 100 Tedford Ct Folsom |
State: | CA US |
Postal Code: | 956308109 |
Phone Number: | 9168063605 |
Fax Number: | 9166082196 |
NPI Enumeration Date: | 08/12/2013 |
NPI Last Update Date: | 08/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP3300X |
License Number: | 2341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Pain |
Taxonomy Definition: |