Basic Information
| Provider Information | |||||||||
| NPI: | 1609059450 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ACHIEVE THERAPY SOLUTIONS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 106 S HOLMEN DR | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | HOLMEN | ||||||||
| State: | WI | ||||||||
| PostalCode: | 546369467 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6085269888 | ||||||||
| FaxNumber: | 6085269965 | ||||||||
| Practice Location | |||||||||
| Address1: | 106 S HOLMEN DR | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | HOLMEN | ||||||||
| State: | WI | ||||||||
| PostalCode: | 546369467 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6085269888 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/14/2007 | ||||||||
| LastUpdateDate: | 12/14/2007 | ||||||||
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| AuthorizedOfficialLastName: | PARRISH | ||||||||
| AuthorizedOfficialFirstName: | KATHERINE | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | OCCUPATIONAL THERAPY ASSISTANT | ||||||||
| AuthorizedOfficialTelephone: | 6085479454 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | 2057-027 | WI | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.