Provider Demographics
NPI:1336479971
Name:THERAPEUTIC SERVICES LLC
Entity Type:Organization
Organization Name:THERAPEUTIC SERVICES LLC
Other - Org Name:THERAPY PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DIEMERT
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:541-680-7373
Mailing Address - Street 1:470 NE STEPHENS ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-3158
Mailing Address - Country:US
Mailing Address - Phone:541-673-5770
Mailing Address - Fax:541-673-5774
Practice Address - Street 1:470 NE STEPHENS ST
Practice Address - Street 2:SUITE 102
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-3158
Practice Address - Country:US
Practice Address - Phone:541-673-5770
Practice Address - Fax:541-673-5774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-04
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation