Healthcare Provider Details

I. General information

NPI: 1366802886
Provider Name (Legal Business Name): THERAPROS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2016
Last Update Date: 02/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

668 STONY HILL RD SUITE 165
YARDLEY PA
19067-4498
US

IV. Provider business mailing address

668 STONY HILL RD SUITE 165
YARDLEY PA
19067-4498
US

V. Phone/Fax

Practice location:
  • Phone: 215-287-7552
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KEVIN NASKIEWICZ
Title or Position: PRESIDENT
Credential:
Phone: 215-287-7552