Provider Demographics
NPI:1124221460
Name:HOME THERAPY SERVICES PLLC
Entity Type:Organization
Organization Name:HOME THERAPY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:RENAE
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:405-990-1025
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:CHOCTAW
Mailing Address - State:OK
Mailing Address - Zip Code:73020-0187
Mailing Address - Country:US
Mailing Address - Phone:405-990-1025
Mailing Address - Fax:405-455-3717
Practice Address - Street 1:12109 SE 29TH ST
Practice Address - Street 2:
Practice Address - City:CHOCTAW
Practice Address - State:OK
Practice Address - Zip Code:73020-6603
Practice Address - Country:US
Practice Address - Phone:405-990-1025
Practice Address - Fax:405-455-3717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2833225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty