Provider Demographics
NPI:1851794002
Name:FOUR SEASONS THERAPY PARTNERS LLC
Entity Type:Organization
Organization Name:FOUR SEASONS THERAPY PARTNERS LLC
Other - Org Name:FOUR SEASONS THERAPY PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:740-895-6101
Mailing Address - Street 1:201 COURTHOUSE PKWY
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON COURT HOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43160-6001
Mailing Address - Country:US
Mailing Address - Phone:740-895-6101
Mailing Address - Fax:
Practice Address - Street 1:201 COURTHOUSE PKWY
Practice Address - Street 2:
Practice Address - City:WASHINGTON COURT HOUSE
Practice Address - State:OH
Practice Address - Zip Code:43160-6001
Practice Address - Country:US
Practice Address - Phone:740-895-6101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation