Provider Demographics
NPI:1467754580
Name:E PLUS LYMPHEDEMA SERVICES, LLC
Entity Type:Organization
Organization Name:E PLUS LYMPHEDEMA SERVICES, LLC
Other - Org Name:LIFESTRENGTH LYMPHEDEMA CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RHYMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-467-7415
Mailing Address - Street 1:104 WOODMONT BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:615-467-7400
Mailing Address - Fax:
Practice Address - Street 1:104 WOODMONT BLVD
Practice Address - Street 2:STE 310
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2245
Practice Address - Country:US
Practice Address - Phone:615-783-1084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty