Provider Demographics
NPI:1699397976
Name:THERA-MED PLUS LLC
Entity Type:Organization
Organization Name:THERA-MED PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOMASZ
Authorized Official - Middle Name:
Authorized Official - Last Name:UBYSZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-707-9007
Mailing Address - Street 1:6848 KINGSLAND
Mailing Address - Street 2:
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48317-6312
Mailing Address - Country:US
Mailing Address - Phone:586-707-9007
Mailing Address - Fax:
Practice Address - Street 1:6848 KINGSLAND
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48317-6312
Practice Address - Country:US
Practice Address - Phone:586-707-9007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-10
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty