MEDICARE: THERACARE 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1801876248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERACARE INC

Provider Business Mailing Address
First Line	:	8200 HAZELTON ETNA RD
Second Line	:	STE 300
City	:	PATASKALA
State	:	OH
Zip	:	43062
Country	:	US
Telephone Number	:	740-964-6191
Fax Number	:	740-964-6181

Provider Business Practice Location Address
First Line	:	8200 HAZELTON ETNA RD
Second Line	:	STE 300
City	:	PATASKALA
State	:	OH
Zip	:	43062
Country	:	US
Telephone Number	:	740-964-6191
Fax Number	:	740-964-6181

Authorized Official
Title or Position	:	REIMBURSEMENT MGR
Name	:	MS. DEBRA RENA RENNARD
Credential	:
Telephone Number	:	740-965-0816

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	08/22/2020

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Directions to “THERACARE INC ” Practice Location

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