Provider Demographics
NPI:1003434937
Name:TREEHOUSE OCCUPATIONAL THERAPY, LLC
Entity Type:Organization
Organization Name:TREEHOUSE OCCUPATIONAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:THIEL
Authorized Official - Suffix:
Authorized Official - Credentials:OTD
Authorized Official - Phone:618-806-8829
Mailing Address - Street 1:840 E MONUMENT ST APT 4
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2842
Mailing Address - Country:US
Mailing Address - Phone:618-806-8829
Mailing Address - Fax:
Practice Address - Street 1:840 E MONUMENT ST APT 4
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2842
Practice Address - Country:US
Practice Address - Phone:618-806-8829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty