Provider Demographics
NPI:1063594927
Name:TURNER THERAPY, PLLC
Entity type:Organization
Organization Name:TURNER THERAPY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:MELYN
Authorized Official - Last Name:FAIRCHILD
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:469-595-3737
Mailing Address - Street 1:1701 S WASHINGTON ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:KAUFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75142-3439
Mailing Address - Country:US
Mailing Address - Phone:469-595-3737
Mailing Address - Fax:972-932-5970
Practice Address - Street 1:1701 S WASHINGTON ST
Practice Address - Street 2:SUITE C
Practice Address - City:KAUFMAN
Practice Address - State:TX
Practice Address - Zip Code:75142-3439
Practice Address - Country:US
Practice Address - Phone:469-595-3737
Practice Address - Fax:972-932-5970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1136588225100000X
TX108831225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty