| Organization Name: | PROFESSIONAL THERAPY SERVICES, LLC |
| NPI Number: | 1255435616 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TROY BAGE (PRESIDENT) |
| Mailing Address: | 1615 State Highway 17 Ste 9 Young Harris |
| State: | GA US |
| Postal Code: | 305821880 |
| Phone Number: | 7068962771 |
| Fax Number: | 7068962772 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 06/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 12/15/2006 |
| NPI Reactivation Date: | 05/27/2008 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |