Healthcare Provider Details

I. General information

NPI: 1093632671
Provider Name (Legal Business Name): THERAPY UNLIMITED LLC, GWEN HOMER SOLE MBR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 E CEDAR ST
BRANDON SD
57005-1604
US

IV. Provider business mailing address

1402 E CEDAR ST
BRANDON SD
57005-1604
US

V. Phone/Fax

Practice location:
  • Phone: 605-582-1178
  • Fax: 844-912-2555
Mailing address:
  • Phone: 605-582-1178
  • Fax: 844-912-2555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: GWEN HOMER
Title or Position: OWNER/PT
Credential: PT
Phone: 605-582-1178