Healthcare Provider Details

I. General information

NPI: 1194875468
Provider Name (Legal Business Name): COMPRESSION THERAPY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 12/30/2020
Certification Date: 12/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 W LAKE LANSING RD SUITE 300
EAST LANSING MI
48823-8474
US

IV. Provider business mailing address

780 W LAKE LANSING RD SUITE 300
EAST LANSING MI
48823-8474
US

V. Phone/Fax

Practice location:
  • Phone: 517-333-3820
  • Fax: 517-853-3769
Mailing address:
  • Phone: 517-333-3820
  • Fax: 517-853-3769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. SEAN C SMITH
Title or Position: PRESIDENT
Credential:
Phone: 517-333-3820