Provider Demographics
NPI:1568663706
Name:COMMUNITY THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:COMMUNITY THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRISS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:419-509-8476
Mailing Address - Street 1:3860 SILVERBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-8954
Mailing Address - Country:US
Mailing Address - Phone:419-509-8476
Mailing Address - Fax:419-865-0987
Practice Address - Street 1:3860 SILVERBERRY CIR
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-8954
Practice Address - Country:US
Practice Address - Phone:419-509-8476
Practice Address - Fax:419-865-0987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-5368225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty