Provider Demographics
NPI:1821797333
Name:GRATEFUL HEALING LLC
Entity Type:Organization
Organization Name:GRATEFUL HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEIREDO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:516-522-3651
Mailing Address - Street 1:403 CANOE DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-7470
Mailing Address - Country:US
Mailing Address - Phone:516-522-3651
Mailing Address - Fax:
Practice Address - Street 1:200 MILLERS XING
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-5735
Practice Address - Country:US
Practice Address - Phone:516-522-3651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty