Provider Demographics
NPI:1780202754
Name:THREE OAKS THERAPY, LLC
Entity Type:Organization
Organization Name:THREE OAKS THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:937-271-9677
Mailing Address - Street 1:7413 BUNKER CT
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4201
Mailing Address - Country:US
Mailing Address - Phone:937-271-9677
Mailing Address - Fax:937-428-5821
Practice Address - Street 1:7413 BUNKER CT
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-4201
Practice Address - Country:US
Practice Address - Phone:937-271-9677
Practice Address - Fax:937-428-5821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty