Provider Demographics
NPI:1760608871
Name:WOMEN'S THERAPEUTIC SERVICES, INC.
Entity Type:Organization
Organization Name:WOMEN'S THERAPEUTIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRODZIK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:502-895-2440
Mailing Address - Street 1:SUBURBAN MEDICAL PLAZA III
Mailing Address - Street 2:4121 DUTCHMAN'S LN -STE 515
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207
Mailing Address - Country:US
Mailing Address - Phone:502-895-2440
Mailing Address - Fax:502-897-2311
Practice Address - Street 1:SUBURBAN MEDICAL PLAZA III
Practice Address - Street 2:4121 DUTCHMAN'S LN -STE 515
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207
Practice Address - Country:US
Practice Address - Phone:502-895-2440
Practice Address - Fax:502-897-2311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY002736225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty