MEDICARE: THERAPEUTIC SPECIALTIES INC

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1508923756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPEUTIC SPECIALTIES INC

Provider Business Mailing Address
First Line	:	11469 OLIVE BLVD # 116
Second Line	:
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-7108
Country	:	US
Telephone Number	:	314-291-9900
Fax Number	:	314-291-9909

Provider Business Practice Location Address
First Line	:	5240 OAKLAND AVE # A
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1436
Country	:	US
Telephone Number	:	314-291-9900
Fax Number	:	314-291-9909

Authorized Official
Title or Position	:	CEO
Name	:	MICHAEL BENDER
Credential	:	OTR/L
Telephone Number	:	314-291-9900

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	02/15/2016

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Directions to “THERAPEUTIC SPECIALTIES INC ” Practice Location

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