Provider Demographics
NPI:1528572971
Name:GET UP & GO THERAPY, INC.
Entity Type:Organization
Organization Name:GET UP & GO THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-559-9228
Mailing Address - Street 1:4280 TRINITY MILLS RD APT 605
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-7624
Mailing Address - Country:US
Mailing Address - Phone:954-559-9228
Mailing Address - Fax:561-907-4958
Practice Address - Street 1:4280 TRINITY MILLS RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-7600
Practice Address - Country:US
Practice Address - Phone:954-559-9228
Practice Address - Fax:561-907-4958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health