Healthcare Provider Details
I. General information
NPI: 1780675512
Provider Name (Legal Business Name): HORIZON THERAPY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/01/2005
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
440 FAIRFIELD ST N
TWIN FALLS ID
83301-6129
US
IV. Provider business mailing address
440 FAIRFIELD ST N
TWIN FALLS ID
83301-6129
US
V. Phone/Fax
- Phone: 208-734-1430
- Fax: 208-734-0588
- Phone: 208-734-1430
- Fax: 208-734-0588
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JULIE
A
SCHWERMAN
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 208-734-1430