Provider Demographics
NPI:1164166963
Name:ADVANTAGE THERAPY SERVICES INC.
Entity Type:Organization
Organization Name:ADVANTAGE THERAPY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-774-2261
Mailing Address - Street 1:3435 SILVERBELL RD
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-0386
Mailing Address - Country:US
Mailing Address - Phone:530-774-2261
Mailing Address - Fax:530-774-2378
Practice Address - Street 1:3435 SILVERBELL RD
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-0386
Practice Address - Country:US
Practice Address - Phone:530-774-2261
Practice Address - Fax:530-774-2378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2023-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy