Provider Demographics
NPI:1497143127
Name:SIMPLETHERAPY INC
Entity Type:Organization
Organization Name:SIMPLETHERAPY INC
Other - Org Name:SIMPLETHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:TAE
Authorized Official - Middle Name:WON
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-516-9660
Mailing Address - Street 1:1080 W SHAW AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-3722
Mailing Address - Country:US
Mailing Address - Phone:800-644-2478
Mailing Address - Fax:
Practice Address - Street 1:1080 W SHAW AVE STE 105
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3722
Practice Address - Country:US
Practice Address - Phone:800-644-2478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty