Healthcare Provider Details

I. General information

NPI: 1013104835
Provider Name (Legal Business Name): TREEHOUSE THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 09/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S ZARZAMORA ST
SAN ANTONIO TX
78207-5209
US

IV. Provider business mailing address

10515 GULFDALE
SAN ANTONIO TX
78216-3602
US

V. Phone/Fax

Practice location:
  • Phone: 210-340-2627
  • Fax: 210-340-6437
Mailing address:
  • Phone: 210-340-2627
  • Fax: 210-340-6437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARCI R TAYLOR
Title or Position: EXECUTIVE DIRECTOR
Credential: OTR,BCABA
Phone: 210-340-2627