Healthcare Provider Details

I. General information

NPI: 1972384691
Provider Name (Legal Business Name): ACHIEVEMENT REHABILITATION THROUGH THERAPEUTIC INTERVENTION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 10/09/2023
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1917 NW US HIGHWAY 19
CRYSTAL RIVER FL
34428-6138
US

IV. Provider business mailing address

130 HEIGHTS AVE
INVERNESS FL
34452-4571
US

V. Phone/Fax

Practice location:
  • Phone: 352-419-6570
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SHERRIE KEARSE RAMSAY
Title or Position: OWNER
Credential:
Phone: 352-419-6570