Provider Demographics
NPI:1326438912
Name:GGT THERAPY SERVICES INCORPORATED
Entity Type:Organization
Organization Name:GGT THERAPY SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUAZON
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:870-704-9677
Mailing Address - Street 1:3131 AUSTIN DR
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-8389
Mailing Address - Country:US
Mailing Address - Phone:870-704-9677
Mailing Address - Fax:
Practice Address - Street 1:3131 AUSTIN DR
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-8389
Practice Address - Country:US
Practice Address - Phone:870-704-9677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty