CARLISLE ACADEMY INTEGRATIVE EQUINE THERAPY AND SPORTS, LLC

Provider Demographics

• NPI: 1326333857
• Name: CARLISLE ACADEMY INTEGRATIVE EQUINE THERAPY AND SPORTS, LLC
• Entity Type: Organization
• Organization Name: CARLISLE ACADEMY INTEGRATIVE EQUINE THERAPY AND SPORTS, LLC
• Authorized Official - Title/Position: PRESIDENT
• Authorized Official - Prefix: MS
• Authorized Official - First Name: SARAH
• Authorized Official - Middle Name: CHAPPELL
• Authorized Official - Last Name: ARMENTROUT
• Authorized Official - Phone: 207-985-0374
• Mailing Address - Street 1: 65 DROWN LN
• Mailing Address - City: LYMAN
• Mailing Address - State: ME
• Mailing Address - Zip Code: 04002-6027
• Mailing Address - Country: US
• Mailing Address - Phone: 207-985-0374
• Mailing Address - Fax: 207-985-7937
• Practice Address - Street 1: 65 DROWN LN
• Practice Address - City: LYMAN
• Practice Address - State: ME
• Practice Address - Zip Code: 04002-6027
• Practice Address - Country: US
• Practice Address - Phone: 207-985-0374
• Practice Address - Fax: 207-985-7937
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2011-06-13
• Last Update Date: 2011-06-17

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	261QP2000X	Ambulatory Health Care Facilities	Clinic/Center	Physical Therapy	Group - Multi-Specialty
No	224Z00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapy Assistant		Group - Multi-Specialty
No	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist		Group - Multi-Specialty
No	2251G0304X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Geriatrics	Group - Multi-Specialty
No	2251N0400X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Neurology	Group - Multi-Specialty
No	2251P0200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Pediatrics	Group - Multi-Specialty
No	225200000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapy Assistant		Group - Multi-Specialty
No	225X00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist		Group - Multi-Specialty
No	225XF0002X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Feeding, Eating & Swallowing	Group - Multi-Specialty
No	225XN1300X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Neurorehabilitation	Group - Multi-Specialty
No	225XP0019X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Physical Rehabilitation	Group - Multi-Specialty
No	225XP0200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Pediatrics	Group - Multi-Specialty
No	261QX0100X	Ambulatory Health Care Facilities	Clinic/Center	Occupational Medicine	Group - Multi-Specialty