Provider Demographics
NPI:1952152969
Name:MUZZLE 2 TAIL HORSEMANSHIP AND THERAPEUTIC RIDING CENTER
Entity Type:Organization
Organization Name:MUZZLE 2 TAIL HORSEMANSHIP AND THERAPEUTIC RIDING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED THERAPEUTIC RIDING INSTRU
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GIVENS
Authorized Official - Suffix:
Authorized Official - Credentials:CTRI
Authorized Official - Phone:302-396-1005
Mailing Address - Street 1:8883 CLENDANIEL POND RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:DE
Mailing Address - Zip Code:19960-2980
Mailing Address - Country:US
Mailing Address - Phone:302-396-1005
Mailing Address - Fax:
Practice Address - Street 1:8883 CLENDANIEL POND RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:DE
Practice Address - Zip Code:19960-2980
Practice Address - Country:US
Practice Address - Phone:302-396-1005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable