Healthcare Provider Details

I. General information

NPI: 1407181365
Provider Name (Legal Business Name): HOOF-BEATS EQUESTRIAN CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2009
Last Update Date: 10/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25094 MIDDLE RD
CAMBRIDGE SPRINGS PA
16403-7464
US

IV. Provider business mailing address

25094 MIDDLE RD
CAMBRIDGE SPRINGS PA
16403-7464
US

V. Phone/Fax

Practice location:
  • Phone: 814-460-5265
  • Fax:
Mailing address:
  • Phone: 814-460-5265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT014022L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTO14022L
License Number StatePA

VIII. Authorized Official

Name: FELISA READ
Title or Position: PHYSICAL THERAPIST/PARTNER
Credential: PT/CHT
Phone: 814-460-5265