<Unavail>
LBN: Therapeutic Associates Inc
<Unavail> is an health care organization with primary practice located at 960 S Broadway Ave Ste 200 , Boise ID 83706-3600. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Therapeutic Associates Inc can be contacted via phone (208) 433-9211, or through Gifford, Todd Robert via phone (503) 443-6156.
Contact Information
Primary practice address
960 S Broadway Ave Ste 200
Boise ID 83706-3600
Phone: (208) 433-9211
Fax: (208) 433-9241
Website:
Authorized official contact:
Name: Gifford, Todd Robert Physical Therapist (PT)
Phone: (503) 443-6156
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Idaho |
Profile Details
| NPI number | 1487630240 |
|---|---|
| LBN Legal business name | Therapeutic Associates Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Gifford, Todd Robert Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | May 6th, 2015 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487630240 | NPPES |
| Idaho | MEDICAID | 1487630240-000 | |
| Idaho | MEDICAID | 197670349 | |
| Idaho | MEDICAID | 1487630240 | |
| Idaho | Other | 197670349 |
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