Healthcare Provider Details

I. General information

NPI: 1114238896
Provider Name (Legal Business Name): INSIGHT THERAPIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2010
Last Update Date: 02/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 STATE ST SUITE 1400
ERIE PA
16501-1814
US

IV. Provider business mailing address

1001 STATE ST SUITE 1400
ERIE PA
16501-1814
US

V. Phone/Fax

Practice location:
  • Phone: 814-866-2428
  • Fax:
Mailing address:
  • Phone: 814-866-2428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARTHA AMANDA WATSON
Title or Position: MANAGER
Credential: PHD
Phone: 814-866-2428