Provider Demographics
NPI:1699178848
Name:THERAPY ACADEMY AT HOME, PLLC
Entity Type:Organization
Organization Name:THERAPY ACADEMY AT HOME, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARATE
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:956-263-1371
Mailing Address - Street 1:756 N FM 2360
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-9726
Mailing Address - Country:US
Mailing Address - Phone:956-263-1371
Mailing Address - Fax:956-263-1270
Practice Address - Street 1:756 N FM 2360
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-9726
Practice Address - Country:US
Practice Address - Phone:956-263-1371
Practice Address - Fax:956-263-1270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health