Provider Demographics
NPI:1144622861
Name:AGAPE THERAPY SERVICES ,PLLC
Entity Type:Organization
Organization Name:AGAPE THERAPY SERVICES ,PLLC
Other - Org Name:AGAPE PEDIATRIC THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:K
Authorized Official - Last Name:LOW
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:509-942-8474
Mailing Address - Street 1:925 STEVENS DR STE 1E
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-3523
Mailing Address - Country:US
Mailing Address - Phone:509-942-8474
Mailing Address - Fax:
Practice Address - Street 1:925 STEVENS DR STE 1E
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3523
Practice Address - Country:US
Practice Address - Phone:509-942-8474
Practice Address - Fax:509-356-9154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-25
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60199249225100000X
225100000X, 2251P0200X, 225X00000X, 225XP0200X, 235Z00000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAIHS.FS.60534639OtherDEPARTMENT OF HEALTH - IN HOME SERVICES AGENCY LICENSE