Provider Demographics
NPI:1134596380
Name:COMMON SENSE THERAPY
Entity type:Organization
Organization Name:COMMON SENSE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOULCH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:479-253-1815
Mailing Address - Street 1:266 COUNTY ROAD 3027
Mailing Address - Street 2:
Mailing Address - City:EUREKA SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72632-9721
Mailing Address - Country:US
Mailing Address - Phone:870-416-1173
Mailing Address - Fax:
Practice Address - Street 1:266 COUNTY ROAD 3027
Practice Address - Street 2:
Practice Address - City:EUREKA SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72632-9721
Practice Address - Country:US
Practice Address - Phone:870-416-1173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4012261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy