Provider Demographics
NPI:1932459823
Name:COMPRESSION THERAPY LLC
Entity Type:Organization
Organization Name:COMPRESSION THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-721-6312
Mailing Address - Street 1:1389 W 86TH ST
Mailing Address - Street 2:SUITE 252
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260
Mailing Address - Country:US
Mailing Address - Phone:317-721-6312
Mailing Address - Fax:310-593-4360
Practice Address - Street 1:1389 W 86TH ST
Practice Address - Street 2:SUITE 252
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260
Practice Address - Country:US
Practice Address - Phone:317-721-6312
Practice Address - Fax:310-593-4360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies