Provider Demographics
NPI:1891385746
Name:ELECTRIC CITY THERAPY LLC
Entity Type:Organization
Organization Name:ELECTRIC CITY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:WEATHERLY
Authorized Official - Last Name:CUTTS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CCC-SLP
Authorized Official - Phone:864-305-1982
Mailing Address - Street 1:3300 N MAIN ST STE D310
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-4128
Mailing Address - Country:US
Mailing Address - Phone:864-305-1982
Mailing Address - Fax:864-428-9802
Practice Address - Street 1:2802 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29625-2300
Practice Address - Country:US
Practice Address - Phone:864-305-1982
Practice Address - Fax:864-428-9802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty