Provider Demographics
NPI:1639630908
Name:LITSCHI THERAPY PLLC
Entity Type:Organization
Organization Name:LITSCHI THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:LITSCHI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-638-1917
Mailing Address - Street 1:4286 W BANNER MINE PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-4100
Mailing Address - Country:US
Mailing Address - Phone:512-638-1917
Mailing Address - Fax:
Practice Address - Street 1:1735 E FORT LOWELL RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2301
Practice Address - Country:US
Practice Address - Phone:512-638-1917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health