Provider Demographics
NPI:1891145603
Name:NAPLES THERAPY CENTER, LLC
Entity Type:Organization
Organization Name:NAPLES THERAPY CENTER, LLC
Other - Org Name:NAPLES THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ULUM
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:GREENWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-231-1095
Mailing Address - Street 1:2590 NORTHBROOKE PLAZA DR STE 202
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8101
Mailing Address - Country:US
Mailing Address - Phone:239-231-1095
Mailing Address - Fax:239-231-1096
Practice Address - Street 1:2590 NORTHBROOKE PLAZA DR STE 202
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-8101
Practice Address - Country:US
Practice Address - Phone:392-311-0952
Practice Address - Fax:239-231-1096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2023-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation