Provider Demographics
NPI:1245654102
Name:HORSE N AROUND THERAPEUTIC RIDING CENTER
Entity type:Organization
Organization Name:HORSE N AROUND THERAPEUTIC RIDING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KASIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIVETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-641-2146
Mailing Address - Street 1:2593 N ROCKY RIVER RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-6038
Mailing Address - Country:US
Mailing Address - Phone:704-641-2146
Mailing Address - Fax:
Practice Address - Street 1:2593 N ROCKY RIVER RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-6038
Practice Address - Country:US
Practice Address - Phone:704-641-2146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-13
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Q00000X, 225X00000X, 225100000X
SC4623235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty