Provider Demographics
NPI:1013648229
Name:COMPASS THERAPY SOLUTIONS
Entity Type:Organization
Organization Name:COMPASS THERAPY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GROTEWIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-380-5557
Mailing Address - Street 1:3677 S WESTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-4469
Mailing Address - Country:US
Mailing Address - Phone:913-991-7918
Mailing Address - Fax:
Practice Address - Street 1:4812 SANTANA CIR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-7138
Practice Address - Country:US
Practice Address - Phone:573-380-5557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-19
Last Update Date:2022-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy