Provider Demographics
NPI:1568453355
Name:HEALTHERAPY PARTNERS INC
Entity Type:Organization
Organization Name:HEALTHERAPY PARTNERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:ARCHAMBEAU
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:419-382-8141
Mailing Address - Street 1:3312 GLANZMAN RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614
Mailing Address - Country:US
Mailing Address - Phone:419-382-8141
Mailing Address - Fax:419-382-7081
Practice Address - Street 1:3318 GLANZMAN RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614
Practice Address - Country:US
Practice Address - Phone:419-382-9578
Practice Address - Fax:419-382-9824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH728574Medicaid
OH000000168967OtherANTHEM
OH000000168967OtherANTHEM
OH728574Medicaid