Organization Name: | KILLEEN THERAPY SERVICES, INC |
NPI Number: | 1164455531 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE M KILLEEN (PRESIDENT) |
Mailing Address: | 19047 N 76th Ave Glendale |
State: | AZ US |
Postal Code: | 853088304 |
Phone Number: | 6235610499 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 02/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |