Provider Demographics
NPI:1407174535
Name:MAGUIRE THERAPY SERVICES INC.
Entity Type:Organization
Organization Name:MAGUIRE THERAPY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:AGNUS
Authorized Official - Last Name:MAGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:706-831-5562
Mailing Address - Street 1:106 PLEASANT HOME RD STE 2K
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-0510
Mailing Address - Country:US
Mailing Address - Phone:706-724-6543
Mailing Address - Fax:206-350-9023
Practice Address - Street 1:106 PLEASANT HOME RD STE 2K
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30907-0510
Practice Address - Country:US
Practice Address - Phone:706-724-6543
Practice Address - Fax:206-350-9023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-13
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy