Provider Demographics
NPI:1801137534
Name:NATIONAL THERAPY SERVICES LLC
Entity type:Organization
Organization Name:NATIONAL THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANANTIK
Authorized Official - Middle Name:N
Authorized Official - Last Name:PANDYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-421-5174
Mailing Address - Street 1:2 CROCKER BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MOUNT CLEMENS
Mailing Address - State:MI
Mailing Address - Zip Code:48043-2528
Mailing Address - Country:US
Mailing Address - Phone:586-421-5174
Mailing Address - Fax:586-569-2505
Practice Address - Street 1:2 CROCKER BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:MOUNT CLEMENS
Practice Address - State:MI
Practice Address - Zip Code:48043-2528
Practice Address - Country:US
Practice Address - Phone:586-421-5174
Practice Address - Fax:586-569-2505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-05
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization