Healthcare Provider Details

I. General information

NPI: 1568792273
Provider Name (Legal Business Name): THERAPY ESSENTIALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2009
Last Update Date: 01/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5235 CALYX LN
TOLEDO OH
43623-2214
US

IV. Provider business mailing address

5235 CALYX LN
TOLEDO OH
43623-2214
US

V. Phone/Fax

Practice location:
  • Phone: 877-813-9090
  • Fax: 419-472-0812
Mailing address:
  • Phone: 877-813-9090
  • Fax: 419-472-0812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number5502000374
License Number StateMI

VIII. Authorized Official

Name: KELLY S RUTH
Title or Position: CFO
Credential:
Phone: 877-813-9090