Provider Demographics
NPI:1043757792
Name:THERAPY FOR LIVING, LLC
Entity Type:Organization
Organization Name:THERAPY FOR LIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HALLIE
Authorized Official - Middle Name:BOBBITT
Authorized Official - Last Name:SIKES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:704-269-8405
Mailing Address - Street 1:217 W. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-9816
Mailing Address - Country:US
Mailing Address - Phone:704-269-8405
Mailing Address - Fax:877-991-8478
Practice Address - Street 1:217 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-4816
Practice Address - Country:US
Practice Address - Phone:704-269-8405
Practice Address - Fax:877-991-8478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9888225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty