Provider Demographics
NPI:1558999268
Name:NEURO THERAPY SYSTEMS LLC
Entity Type:Organization
Organization Name:NEURO THERAPY SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO- OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-325-7010
Mailing Address - Street 1:4045 E UNION HILLS DR STE 102A
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-3388
Mailing Address - Country:US
Mailing Address - Phone:612-325-7010
Mailing Address - Fax:
Practice Address - Street 1:4045 E UNION HILLS DR STE 102A
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-3388
Practice Address - Country:US
Practice Address - Phone:612-325-7010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-29
Last Update Date:2020-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty