Provider Demographics
NPI:1740209956
Name:THERAPY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:THERAPY SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WECKWERTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-268-9904
Mailing Address - Street 1:6631 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609-4355
Mailing Address - Country:US
Mailing Address - Phone:307-268-9904
Mailing Address - Fax:307-268-9907
Practice Address - Street 1:6631 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-4355
Practice Address - Country:US
Practice Address - Phone:307-268-9904
Practice Address - Fax:307-268-9907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPT-057261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY114649100Medicaid
WY00012001OtherBLUE CROSS ID NUMBER
WY114649100Medicaid