Organization Name: | THERAPEUTIC HEALTH SERVICES, INC |
NPI Number: | 1053436188 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK G HULST (PHYSICAL THERAPIST EXECUTIVE DIR) |
Mailing Address: | 1000 Lincoln Cir Se Suite 400 Orange City |
State: | IA US |
Postal Code: | 510411862 |
Phone Number: | 7127375234 |
Fax Number: | 7127375287 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |