Provider Demographics
NPI:1114219045
Name:WORK THERAPPEUTICS INCORPORATED
Entity Type:Organization
Organization Name:WORK THERAPPEUTICS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:HALLING
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:270-781-9202
Mailing Address - Street 1:1143 FAIRWAY ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103-2452
Mailing Address - Country:US
Mailing Address - Phone:270-781-9202
Mailing Address - Fax:270-781-9072
Practice Address - Street 1:1143 FAIRWAY ST
Practice Address - Street 2:SUITE 104
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42103-2452
Practice Address - Country:US
Practice Address - Phone:270-781-9202
Practice Address - Fax:270-781-9072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY005238261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy