Healthcare Provider Details

I. General information

NPI: 1528689742
Provider Name (Legal Business Name): ENCOMPASS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2020
Last Update Date: 04/28/2020
Certification Date: 04/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11807 ALLISONVILLE RD # 104
FISHERS IN
46038-2313
US

IV. Provider business mailing address

11807 ALLISONVILLE RD # 104
FISHERS IN
46038-2313
US

V. Phone/Fax

Practice location:
  • Phone: 317-674-3321
  • Fax:
Mailing address:
  • Phone: 317-674-3321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: ERIN E EATON
Title or Position: MEMBER
Credential: CTRS
Phone: 317-674-3321