Provider Demographics
NPI:1679326409
Name:THERAPY LINK LLC
Entity type:Organization
Organization Name:THERAPY LINK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:BS, PT
Authorized Official - Phone:574-551-1148
Mailing Address - Street 1:1504 LIVINGSTON LAKES WAY
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46818-1954
Mailing Address - Country:US
Mailing Address - Phone:574-551-1148
Mailing Address - Fax:
Practice Address - Street 1:1504 LIVINGSTON LAKES WAY
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46818-1954
Practice Address - Country:US
Practice Address - Phone:574-551-1148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty