Provider Demographics
NPI:1568012565
Name:TOPLINE THERAPY LLC
Entity Type:Organization
Organization Name:TOPLINE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:325-668-0168
Mailing Address - Street 1:125 VISTA RIO BONITO DR
Mailing Address - Street 2:
Mailing Address - City:ALTO
Mailing Address - State:NM
Mailing Address - Zip Code:88312-9400
Mailing Address - Country:US
Mailing Address - Phone:575-808-8721
Mailing Address - Fax:575-808-8723
Practice Address - Street 1:1129 MECHEM DR STE C
Practice Address - Street 2:
Practice Address - City:RUIDOSO
Practice Address - State:NM
Practice Address - Zip Code:88345-7292
Practice Address - Country:US
Practice Address - Phone:575-808-8721
Practice Address - Fax:575-808-8723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-12
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy