MEDICARE: THERAMEDX, 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1831225481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAMEDX, LLC

Provider Business Mailing Address
First Line	:	755 NORTH AVE STE B
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81501-3112
Country	:	US
Telephone Number	:	886-461-5020
Fax Number	:	970-257-1880

Provider Business Practice Location Address
First Line	:	755 NORTH AVE STE B
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81501-3112
Country	:	US
Telephone Number	:	886-461-5020
Fax Number	:	970-257-1880

Authorized Official
Title or Position	:	MEMBER
Name	:	CHRISTOPHER ANGELLO
Credential	:
Telephone Number	:	866-461-5020

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	08/22/2020

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