Provider Demographics
NPI:1184084667
Name:NATURE'STHERAPY LLC
Entity type:Organization
Organization Name:NATURE'STHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MARTHA
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:IRIARTE
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:239-634-8674
Mailing Address - Street 1:324 SE 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-1431
Mailing Address - Country:US
Mailing Address - Phone:239-634-8674
Mailing Address - Fax:
Practice Address - Street 1:6110 BOWLING ROAD
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33917-4307
Practice Address - Country:US
Practice Address - Phone:239-634-8674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 000001254261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation