Organization · Type 2 NPI
Thera-Peds, LLC
Clinic/Center · Sullivan, MO
NPI number
1962878488
Active
Practice location
115 Progress Pkwy
Sullivan, MO 63080-2359
Mailing address
10276 Timmermann Ln
Sullivan, MO 63080-6436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
About NPI 1962878488
Thera-Peds, LLC's National Provider Identifier is 1962878488, issued on Aug 19, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Sullivan, MO. The record was last updated on Dec 29, 2015.