Provider Demographics
NPI:1881943553
Name:TREEHOUSE GROUP LLC
Entity type:Organization
Organization Name:TREEHOUSE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:IRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-764-6887
Mailing Address - Street 1:1177 SO. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84335
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:435-535-0769
Practice Address - Street 1:1177 SO. MAIN ST.
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84335
Practice Address - Country:US
Practice Address - Phone:435-563-6887
Practice Address - Fax:435-535-0769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-10
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty