Provider Demographics
NPI:1548419682
Name:SPECIAL THERAPIES, INC
Entity Type:Organization
Organization Name:SPECIAL THERAPIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:V
Authorized Official - Last Name:KRATZ
Authorized Official - Suffix:
Authorized Official - Credentials:OTR BCP
Authorized Official - Phone:262-347-2222
Mailing Address - Street 1:W238N1690 ROCKWOOD DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1151
Mailing Address - Country:US
Mailing Address - Phone:262-347-2222
Mailing Address - Fax:262-347-2251
Practice Address - Street 1:W238N1690 ROCKWOOD DR
Practice Address - Street 2:SUITE 500
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1151
Practice Address - Country:US
Practice Address - Phone:262-347-2222
Practice Address - Fax:262-347-2251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-13
Last Update Date:2008-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1001174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty