Provider Demographics
NPI:1053382325
Name:TERRA HEALTH INC.
Entity type:Organization
Organization Name:TERRA HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:740-246-5483
Mailing Address - Street 1:8745 BLACKBIRD LN
Mailing Address - Street 2:PO BOX 273
Mailing Address - City:THORNVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43076-9515
Mailing Address - Country:US
Mailing Address - Phone:740-246-5483
Mailing Address - Fax:740-246-6480
Practice Address - Street 1:8745 BLACKBIRD LN
Practice Address - Street 2:
Practice Address - City:THORNVILLE
Practice Address - State:OH
Practice Address - Zip Code:43076-9515
Practice Address - Country:US
Practice Address - Phone:740-246-5483
Practice Address - Fax:740-246-6480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3466261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation