Healthcare Provider Details

I. General information

NPI: 1568766400
Provider Name (Legal Business Name): THERAPY WORKS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2011
Last Update Date: 03/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

487A NORTH MAIN ST
THAYNE WY
83127
US

IV. Provider business mailing address

PO BOX 860
THAYNE WY
83127-0860
US

V. Phone/Fax

Practice location:
  • Phone: 307-883-8877
  • Fax: 307-883-8876
Mailing address:
  • Phone: 307-883-8877
  • Fax: 307-883-8876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIC BOONE HODGES
Title or Position: OWNER
Credential: OTR/L
Phone: 307-883-8877