Provider Demographics
NPI:1437547932
Name:THERAPY SUPPORT, INC.
Entity Type:Organization
Organization Name:THERAPY SUPPORT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR 3M
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUSCELL
Authorized Official - Middle Name:D
Authorized Official - Last Name:PAVLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-380-5105
Mailing Address - Street 1:2803 N OAK GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65803-4976
Mailing Address - Country:US
Mailing Address - Phone:417-380-5105
Mailing Address - Fax:
Practice Address - Street 1:20255 PATTON ST.
Practice Address - Street 2:#3
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-8007
Practice Address - Country:US
Practice Address - Phone:877-885-4325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies