Provider Demographics
NPI:1346388089
Name:THERAPY PLACE
Entity Type:Organization
Organization Name:THERAPY PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:972-347-3770
Mailing Address - Street 1:133 DYLAN DR STE A
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-7905
Mailing Address - Country:US
Mailing Address - Phone:972-347-3770
Mailing Address - Fax:
Practice Address - Street 1:133 DYLAN DR STE A
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-7905
Practice Address - Country:US
Practice Address - Phone:972-347-3770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1131183261QP2000X
TX111889261QR0400X
TX19607261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Not Answered261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation