Provider Demographics
NPI:1639727035
Name:UNIFIED THERAPY SERVICES, INC
Entity Type:Organization
Organization Name:UNIFIED THERAPY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-583-4003
Mailing Address - Street 1:4121 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-2628
Mailing Address - Country:US
Mailing Address - Phone:563-588-1127
Mailing Address - Fax:563-265-5789
Practice Address - Street 1:615 ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:FENNIMORE
Practice Address - State:WI
Practice Address - Zip Code:53809-1130
Practice Address - Country:US
Practice Address - Phone:563-588-1127
Practice Address - Fax:563-265-5789
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIFIED THERAPY SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0665950Medicaid