Provider Demographics
NPI:1114097763
Name:NUZUM AND ASSOCIATES, LLC
Entity Type:Organization
Organization Name:NUZUM AND ASSOCIATES, LLC
Other - Org Name:THERAPLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:NUZUM
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:314-821-8304
Mailing Address - Street 1:2154 PARDOROYAL DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-1935
Mailing Address - Country:US
Mailing Address - Phone:314-821-8304
Mailing Address - Fax:800-327-1957
Practice Address - Street 1:2001 S HANLEY RD
Practice Address - Street 2:SUITE 190
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63144-1518
Practice Address - Country:US
Practice Address - Phone:314-821-8304
Practice Address - Fax:800-327-1957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty