MEDICARE: THERAPY CONNECTIONS, 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	235Z00000X	Speech-Language Pathologist	4573	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477978369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY CONNECTIONS, LLC

Provider Business Mailing Address
First Line	:	1291 HANGING ROCK RD
Second Line	:
City	:	BOILING SPRINGS
State	:	SC
Zip	:	29316-7404
Country	:	US
Telephone Number	:	864-431-1565
Fax Number	:	864-578-3544

Provider Business Practice Location Address
First Line	:	1291 HANGING ROCK RD
Second Line	:
City	:	BOILING SPRINGS
State	:	SC
Zip	:	29316-7404
Country	:	US
Telephone Number	:	864-431-1565
Fax Number	:	864-578-3544

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	ASHLEY IRVIN BRADLEY
Credential	:	MCD, CCC-SLP
Telephone Number	:	864-431-1565

Provider Enumeration Date	:	02/28/2014
Last Update Date	:	02/28/2014

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Directions to “THERAPY CONNECTIONS, LLC ” Practice Location

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