Provider Demographics
NPI:1477116580
Name:FLEX HOME THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:FLEX HOME THERAPY SERVICES, LLC
Other - Org Name:FLEX THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUTUMN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HUEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:628-777-3539
Mailing Address - Street 1:1051 E BOGARD RD.
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654
Mailing Address - Country:US
Mailing Address - Phone:907-521-4566
Mailing Address - Fax:833-211-4855
Practice Address - Street 1:1051 E BOGARD RD.
Practice Address - Street 2:SUITE 1
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654
Practice Address - Country:US
Practice Address - Phone:907-521-4566
Practice Address - Fax:833-211-4855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-16
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty