Provider Demographics
NPI:1295289163
Name:AFFILIATED THERAPY SERVICES
Entity type:Organization
Organization Name:AFFILIATED THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-880-8605
Mailing Address - Street 1:2204 ROBIN AVE
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-5751
Mailing Address - Country:US
Mailing Address - Phone:985-542-7878
Mailing Address - Fax:985-542-4398
Practice Address - Street 1:4650 E COTTON CENTER BLVD STE 155
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-4803
Practice Address - Country:US
Practice Address - Phone:818-880-8605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REHABILITATION ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA08349174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty