Healthcare Provider Details

I. General information

NPI: 1740517705
Provider Name (Legal Business Name): THERAPY UNLIMITED, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2009
Last Update Date: 11/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 ADAMS ST
STEVENSON AL
35772-3789
US

IV. Provider business mailing address

PO BOX 813
SCOTTSBORO AL
35768-0813
US

V. Phone/Fax

Practice location:
  • Phone: 256-437-3090
  • Fax: 256-437-3098
Mailing address:
  • Phone: 256-259-4440
  • Fax: 256-259-4462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateAL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TANYA TALLEY
Title or Position: PRESIDENT OF ADMINISTRATION/OWNER
Credential:
Phone: 256-259-4440