Healthcare Provider Details

I. General information

NPI: 1033308259
Provider Name (Legal Business Name): THERAPY UNLIMITED, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2007
Last Update Date: 04/29/2020
Certification Date: 04/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16700 GLEN LAKES DRIVE
LOUISVILLE KY
40245-5313
US

IV. Provider business mailing address

16700 GLEN LAKES DR
LOUISVILLE KY
40245-5313
US

V. Phone/Fax

Practice location:
  • Phone: 502-370-7333
  • Fax: 502-384-4087
Mailing address:
  • Phone: 502-370-7333
  • Fax: 502-384-4087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARJORIE AQUINO VILO
Title or Position: VP
Credential: OTR/L
Phone: 502-370-7333