Healthcare Provider Details
I. General information
NPI: 1245429661
Provider Name (Legal Business Name): PERSONAL TOUCH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/22/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5957 CLEVELAND AVE
COLUMBUS OH
43231-2202
US
IV. Provider business mailing address
5957 CLEVELAND AVE
COLUMBUS OH
43229-2202
US
V. Phone/Fax
- Phone: 614-855-3766
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DOUGLAS
S.
ROOKARD
SR.
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 614-855-3766