Provider Demographics
NPI:1083920789
Name:THERAPY TOTS, INC.
Entity Type:Organization
Organization Name:THERAPY TOTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-549-6641
Mailing Address - Street 1:1157 W NEWPORT AVE UNIT C
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-1500
Mailing Address - Country:US
Mailing Address - Phone:773-549-6641
Mailing Address - Fax:
Practice Address - Street 1:1157 W NEWPORT AVE UNIT C
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-1500
Practice Address - Country:US
Practice Address - Phone:773-549-6641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.004143252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency