Provider Demographics
NPI:1669228672
Name:PRACTICAL THERAPY SOLUTIONS LLC
Entity type:Organization
Organization Name:PRACTICAL THERAPY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TYSON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PATE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:925-960-5213
Mailing Address - Street 1:1677 KINGLET DR.
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89441
Mailing Address - Country:US
Mailing Address - Phone:925-960-5213
Mailing Address - Fax:
Practice Address - Street 1:1677 KINGLET DR.
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89441
Practice Address - Country:US
Practice Address - Phone:925-960-5213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty