Provider Demographics
NPI:1063012011
Name:ESSENTIAL THERAPIES
Entity Type:Organization
Organization Name:ESSENTIAL THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HODGSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT, PHD
Authorized Official - Phone:419-344-2223
Mailing Address - Street 1:7596 KINGS POINTE RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-1557
Mailing Address - Country:US
Mailing Address - Phone:419-344-2223
Mailing Address - Fax:
Practice Address - Street 1:7596 KINGS POINTE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-1557
Practice Address - Country:US
Practice Address - Phone:419-344-2223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty