Provider Demographics
NPI:1790546182
Name:COMPRESSION THERAPY SYSTEMS, LLC
Entity Type:Organization
Organization Name:COMPRESSION THERAPY SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:KNOWLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-652-6928
Mailing Address - Street 1:10030 NORMANDY LN
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-5389
Mailing Address - Country:US
Mailing Address - Phone:770-652-6928
Mailing Address - Fax:
Practice Address - Street 1:2354 PENDLEY RD STE D
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6402
Practice Address - Country:US
Practice Address - Phone:770-652-6928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies