Organization Name: | THERA AIR, INC. |
NPI Number: | 1801076245 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN E KIDD (CEO) |
Mailing Address: | 9 Riverside Dr Pine Bush |
State: | NY US |
Postal Code: | 125665734 |
Phone Number: | 8455511801 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2007 |
NPI Last Update Date: | 11/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |