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NPI Code Detail

MEDICARE: TERRA HEALTH, LLC

MEDICARE: TERRA HEALTH, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist8924OH

General Provider Information

NPI Number : 1649293770
Entity Type Code : Organization
Provider Name (Legal Business Name) : TERRA HEALTH, LLC
Provider Business Mailing Address
First Line : 8745 BLACKBIRD LN
Second Line : P.O. BOX 273
City : THORNVILLE
State : OH
Zip : 43076-9515
Country : US
Telephone Number : 740-246-5483
Fax Number : 740-246-6480
Provider Business Practice Location Address
First Line : 8745 BLACKBIRD LN
Second Line :
City : THORNVILLE
State : OH
Zip : 43076-9515
Country : US
Telephone Number : 740-246-5483
Fax Number : 740-246-6480
Authorized Official
Title or Position : PART OWNER/STAFF THERAPIST
Name : BRANDAN HELLER
Credential : P.T., A.T.C.
Telephone Number : 740-246-5483
Provider Enumeration Date : 07/26/2006
Last Update Date : 08/22/2020

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Directions to “TERRA HEALTH, LLC ” Practice Location

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