Provider Demographics
NPI:1861670721
Name:GREENTREE THERAPY LTD
Entity Type:Organization
Organization Name:GREENTREE THERAPY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MALLOY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:330-494-2833
Mailing Address - Street 1:700 MAGNOLIA CIR SE
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-1183
Mailing Address - Country:US
Mailing Address - Phone:330-494-2833
Mailing Address - Fax:330-494-2840
Practice Address - Street 1:700 MAGNOLIA CIR SE
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-1183
Practice Address - Country:US
Practice Address - Phone:330-494-2833
Practice Address - Fax:330-494-2840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-03
Last Update Date:2008-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT002925225100000X
OHOT0003103225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty