Provider Demographics
NPI:1164996930
Name:CATAWBA VALLEY THERAPY SERVICES
Entity Type:Organization
Organization Name:CATAWBA VALLEY THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-437-8808
Mailing Address - Street 1:PO BOX 2756
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28680-2756
Mailing Address - Country:US
Mailing Address - Phone:877-506-2867
Mailing Address - Fax:
Practice Address - Street 1:409B S STERLING ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3572
Practice Address - Country:US
Practice Address - Phone:877-506-2867
Practice Address - Fax:828-437-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty