Provider Demographics
NPI:1487023891
Name:APPLIED THERAPEUTICS INC
Entity Type:Organization
Organization Name:APPLIED THERAPEUTICS INC
Other - Org Name:APPLIED THERAPEUTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANDMEIER
Authorized Official - Suffix:I
Authorized Official - Credentials:LMT
Authorized Official - Phone:541-505-6912
Mailing Address - Street 1:2259 NW TROOST ST
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-1710
Mailing Address - Country:US
Mailing Address - Phone:541-505-6912
Mailing Address - Fax:
Practice Address - Street 1:849 SE MOSHER AVE
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-3961
Practice Address - Country:US
Practice Address - Phone:541-505-6912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty