Provider Demographics
NPI:1548408420
Name:HT ORTHOTRIPSY MANAGEMENT COMPANY LLC
Entity Type:Organization
Organization Name:HT ORTHOTRIPSY MANAGEMENT COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNDSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-578-0117
Mailing Address - Street 1:11680 GREAT OAKS WAY STE 350
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-2460
Mailing Address - Country:US
Mailing Address - Phone:866-581-6843
Mailing Address - Fax:888-739-1444
Practice Address - Street 1:11680 GREAT OAKS WAY STE 350
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-2460
Practice Address - Country:US
Practice Address - Phone:866-581-6843
Practice Address - Fax:888-739-1444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty