Provider Demographics
NPI:1467065268
Name:MAIN STEP THERAPY LLC
Entity Type:Organization
Organization Name:MAIN STEP THERAPY LLC
Other - Org Name:MAIN STEP THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIFFAT
Authorized Official - Middle Name:
Authorized Official - Last Name:REHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC SLP
Authorized Official - Phone:602-369-0251
Mailing Address - Street 1:12214 MAPLECREST DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0908
Mailing Address - Country:US
Mailing Address - Phone:602-369-0251
Mailing Address - Fax:
Practice Address - Street 1:12214 MAPLECREST DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-0908
Practice Address - Country:US
Practice Address - Phone:602-369-0251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech