Healthcare Provider Details

I. General information

NPI: 1073616066
Provider Name (Legal Business Name): THERAPY WORKS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 10/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1397 S COLLEGE ST
WINCHESTER TN
37398-2414
US

IV. Provider business mailing address

PO BOX 4 1397 S. COLLEGE ST.
WINCHESTER TN
37398-0004
US

V. Phone/Fax

Practice location:
  • Phone: 931-962-3225
  • Fax: 931-962-3103
Mailing address:
  • Phone: 931-962-3225
  • Fax: 931-962-3103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License NumberOT319
License Number StateTN

VIII. Authorized Official

Name: MS. EVA MARIE AUSTIN
Title or Position: CHIEF OPERATING OFFICER
Credential: MA, OTR/L
Phone: 931-962-3225