Healthcare Provider Details

I. General information

NPI: 1598788028
Provider Name (Legal Business Name): NATURE'S PLACE THERAPY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 SOUTH BLVD W
DAVENPORT FL
33837-9093
US

IV. Provider business mailing address

1316 SOUTH BLVD W
DAVENPORT FL
33837-9093
US

V. Phone/Fax

Practice location:
  • Phone: 863-421-0556
  • Fax: 863-421-0467
Mailing address:
  • Phone: 863-421-0556
  • Fax: 863-421-0467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBORAH L. ADAMS
Title or Position: DIRECTOR
Credential: MA-CCC/SLP
Phone: 863-421-0556