Healthcare Provider Details

I. General information

NPI: 1750883542
Provider Name (Legal Business Name): ADAPTIVE SEATING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2018
Last Update Date: 03/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 OLD SHELL LANDING RD
OCEAN SPRINGS MS
39564-6819
US

IV. Provider business mailing address

9114 LABRADOR TRL
THEODORE AL
36582-9687
US

V. Phone/Fax

Practice location:
  • Phone: 228-218-9199
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. RYAN THOMPSON
Title or Position: OWNER
Credential: OTR/L
Phone: 228-218-9199