Provider Demographics
NPI:1407181365
Name:HOOF-BEATS EQUESTRIAN CENTER LLC
Entity Type:Organization
Organization Name:HOOF-BEATS EQUESTRIAN CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:FELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:READ
Authorized Official - Suffix:
Authorized Official - Credentials:PT/CHT
Authorized Official - Phone:814-460-5265
Mailing Address - Street 1:25094 MIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:16403-7464
Mailing Address - Country:US
Mailing Address - Phone:814-460-5265
Mailing Address - Fax:
Practice Address - Street 1:25094 MIDDLE RD
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:16403-7464
Practice Address - Country:US
Practice Address - Phone:814-460-5265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPTO14022L225100000X
PAPT014022L261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty