Provider Demographics
NPI:1497921118
Name:THERAPY NEEDS LLC
Entity Type:Organization
Organization Name:THERAPY NEEDS LLC
Other - Org Name:MICHELLE LOVE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:214-929-8405
Mailing Address - Street 1:2802 CRESTRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051
Mailing Address - Country:US
Mailing Address - Phone:214-929-8405
Mailing Address - Fax:610-968-4493
Practice Address - Street 1:2802 CRESTRIDGE CT
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-6461
Practice Address - Country:US
Practice Address - Phone:214-929-8405
Practice Address - Fax:610-968-4493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1132256225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1890931Medicaid