Healthcare Provider Details

I. General information

NPI: 1720935638
Provider Name (Legal Business Name): THERAPEUTIC RIDING UNLIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3491 NICHOLSON ESTATES RD
PACE FL
32571-9440
US

IV. Provider business mailing address

11662 WAKEFIELD DR
PENSACOLA FL
32514-9744
US

V. Phone/Fax

Practice location:
  • Phone: 850-503-3010
  • Fax:
Mailing address:
  • Phone: 850-503-3010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: TERRILL JAYNE BRYANT
Title or Position: DIRECTOR
Credential: BRYANT
Phone: 850-261-3845