Provider Demographics
NPI:1457731002
Name:NEW THERAPEUTIC SOLUTIONS LLC
Entity type:Organization
Organization Name:NEW THERAPEUTIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:NAVE
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:307-682-2632
Mailing Address - Street 1:1001 S DOUGLAS HWY
Mailing Address - Street 2:SUITE B-4
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82716-4924
Mailing Address - Country:US
Mailing Address - Phone:307-682-2632
Mailing Address - Fax:307-682-2610
Practice Address - Street 1:1001 S DOUGLAS HWY
Practice Address - Street 2:SUITE B-4
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716-4924
Practice Address - Country:US
Practice Address - Phone:307-682-2632
Practice Address - Fax:307-682-2610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Single Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty