Provider Demographics
NPI:1134321409
Name:ADVANCED THERAPEUTICS INT'L LLC
Entity Type:Organization
Organization Name:ADVANCED THERAPEUTICS INT'L LLC
Other - Org Name:PSS INJURY & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-591-6111
Mailing Address - Street 1:5825 GLENRIDGE DR NE STE 2-102
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5361
Mailing Address - Country:US
Mailing Address - Phone:404-591-6111
Mailing Address - Fax:404-591-6890
Practice Address - Street 1:5825 GLENRIDGE DR NE STE 2-102
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-5361
Practice Address - Country:US
Practice Address - Phone:404-591-6111
Practice Address - Fax:404-591-6890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty