Provider Demographics
NPI:1386012250
Name:SUPERIOR THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:SUPERIOR THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:COFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:606-438-8511
Mailing Address - Street 1:3294 HIGHWAY 421 S
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MC KEE
Mailing Address - State:KY
Mailing Address - Zip Code:40447-6905
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3294 HIGHWAY 421 S
Practice Address - Street 2:SUITE 1
Practice Address - City:MC KEE
Practice Address - State:KY
Practice Address - Zip Code:40447-6905
Practice Address - Country:US
Practice Address - Phone:606-438-8511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty