Provider Demographics
NPI:1447734561
Name:KUMAR THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:KUMAR THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAYAL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOUL-KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:574-247-7000
Mailing Address - Street 1:12655 STATE ROAD 23
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-9641
Mailing Address - Country:US
Mailing Address - Phone:574-247-7000
Mailing Address - Fax:
Practice Address - Street 1:12655 STATE ROAD 23
Practice Address - Street 2:
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530-9641
Practice Address - Country:US
Practice Address - Phone:574-247-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy