Provider Demographics
NPI:1376865428
Name:THERAPY UNLIMITED, INC
Entity Type:Organization
Organization Name:THERAPY UNLIMITED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMONS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:256-259-4440
Mailing Address - Street 1:102 MICAH WAY
Mailing Address - Street 2:SUITE 1105
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35769-4161
Mailing Address - Country:US
Mailing Address - Phone:256-259-4440
Mailing Address - Fax:256-259-4462
Practice Address - Street 1:102 MICAH WAY STE 1105
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35769-4161
Practice Address - Country:US
Practice Address - Phone:256-259-4440
Practice Address - Fax:256-259-4462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation