Basic Information
| Provider Information | |||||||||
| NPI: | 1114973104 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TOTAL THERAPY SOLUTIONS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20 OVERBROOK DR STE D | ||||||||
| Address2: | |||||||||
| City: | MONROE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450501147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135392886 | ||||||||
| FaxNumber: | 8774307975 | ||||||||
| Practice Location | |||||||||
| Address1: | 20 OVERBROOK DR STE D | ||||||||
| Address2: | |||||||||
| City: | MONROE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450501147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135392886 | ||||||||
| FaxNumber: | 8774307975 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2006 | ||||||||
| LastUpdateDate: | 01/11/2020 | ||||||||
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| AuthorizedOfficialLastName: | LONG | ||||||||
| AuthorizedOfficialFirstName: | KATHLEEN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/PHYSICAL THERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 5135392886 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PT | ||||||||
| NPICertificationDate: | 01/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225400000X | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Practitioner |
No ID Information.