Provider Demographics
NPI:1184611253
Name:THERAPEUTIC SERVICES, INC.
Entity type:Organization
Organization Name:THERAPEUTIC SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:BOWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:ATC
Authorized Official - Phone:479-524-6306
Mailing Address - Street 1:500 S MOUNT OLIVE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SILOAM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72761-3602
Mailing Address - Country:US
Mailing Address - Phone:479-524-6306
Mailing Address - Fax:479-524-6096
Practice Address - Street 1:500 S MOUNT OLIVE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-3602
Practice Address - Country:US
Practice Address - Phone:479-524-6306
Practice Address - Fax:479-524-6096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5C484Medicare ID - Type UnspecifiedPT/OT