Organization Name: | THE THERAPYSOURCE LLC |
NPI Number: | 1538198825 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAULA KAY COPELAND (PT/OWNER) |
Mailing Address: | 1212 W Highway 28 Owensville |
State: | MO US |
Postal Code: | 650661669 |
Phone Number: | 5734378011 |
Fax Number: | 5734378022 |
NPI Enumeration Date: | 07/01/2006 |
NPI Last Update Date: | 04/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |