MEDICARE: ART THERAPY SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171WH0202X	Home Modifications Contractor
2	332BN1400X	Nursing Facility Supplies (DME)

General Provider Information

NPI Number	:	1144607409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ART THERAPY SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	824 MORNINGSIDE DR
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-4469
Country	:	US
Telephone Number	:	502-773-5345
Fax Number	:

Provider Business Practice Location Address
First Line	:	824 MORNINGSIDE DR
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-4469
Country	:	US
Telephone Number	:	502-773-5345
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TERRELL DANIEL CORNELISON
Credential	:
Telephone Number	:	502-773-5345

Provider Enumeration Date	:	05/06/2015
Last Update Date	:	03/25/2026

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