Healthcare Provider Details

I. General information

NPI: 1538253463
Provider Name (Legal Business Name): THERACARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 MANCHESTER SQUARE
MANCHESTER KY
40962-9998
US

IV. Provider business mailing address

PO BOX 160
MANCHESTER KY
40962-9998
US

V. Phone/Fax

Practice location:
  • Phone: 606-598-7673
  • Fax: 606-598-7948
Mailing address:
  • Phone: 606-598-7673
  • Fax: 606-598-7948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. LESLIE M SIZEMORE
Title or Position: PRESIDENT
Credential: EDS OTRL
Phone: 606-598-7673