Provider Demographics
NPI:1518226596
Name:SIMPLEHEALTH, LLC
Entity Type:Organization
Organization Name:SIMPLEHEALTH, LLC
Other - Org Name:MARCIA OLIVER MSPT
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:765-795-2929
Mailing Address - Street 1:5600 OAK RD
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:IN
Mailing Address - Zip Code:47868-7050
Mailing Address - Country:US
Mailing Address - Phone:765-795-2929
Mailing Address - Fax:
Practice Address - Street 1:5600 OAK RD
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:IN
Practice Address - Zip Code:47868-7050
Practice Address - Country:US
Practice Address - Phone:765-795-2929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05007635A261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy