Healthcare Provider Details
I. General information
NPI: 1790808350
Provider Name (Legal Business Name): RALEIGH THERAPY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/09/2007
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
805 THATCHER WAY
RALEIGH NC
27615-1233
US
IV. Provider business mailing address
805 THATCHER WAY
RALEIGH NC
27615-1233
US
V. Phone/Fax
- Phone: 919-870-9591
- Fax: 919-846-4705
- Phone: 919-870-9591
- Fax: 919-846-4705
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
VICKI
CUTTS
DAILEY
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential:
Phone: 919-870-9591