Provider Demographics
NPI:1174851679
Name:THERAPYTECH, INC.
Entity type:Organization
Organization Name:THERAPYTECH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:740-591-9041
Mailing Address - Street 1:PO BOX 672
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-0672
Mailing Address - Country:US
Mailing Address - Phone:740-591-9041
Mailing Address - Fax:740-594-8148
Practice Address - Street 1:75 HOSPITAL DR
Practice Address - Street 2:SUITE 360 B
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2857
Practice Address - Country:US
Practice Address - Phone:740-591-9041
Practice Address - Fax:740-594-8148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty