Provider Demographics
NPI:1851631147
Name:THERAPY SUPPORT INC
Entity Type:Organization
Organization Name:THERAPY SUPPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:3M DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUSCELL
Authorized Official - Middle Name:D
Authorized Official - Last Name:PAVLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-380-5105
Mailing Address - Street 1:2803 N OAK GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65803-4976
Mailing Address - Country:US
Mailing Address - Phone:417-380-5105
Mailing Address - Fax:417-447-0987
Practice Address - Street 1:200 VILLANI DR
Practice Address - Street 2:SUITE 3005
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-3483
Practice Address - Country:US
Practice Address - Phone:412-221-3500
Practice Address - Fax:412-221-3555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-22
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA8000002457332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies