Provider Demographics
NPI:1093393431
Name:PIECES OF YOU HOME THERAPY SERVICES
Entity type:Organization
Organization Name:PIECES OF YOU HOME THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:L
Authorized Official - Last Name:VEST
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:440-853-6214
Mailing Address - Street 1:PO BOX 431
Mailing Address - Street 2:
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-0431
Mailing Address - Country:US
Mailing Address - Phone:440-853-6214
Mailing Address - Fax:
Practice Address - Street 1:247 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-3806
Practice Address - Country:US
Practice Address - Phone:440-853-6214
Practice Address - Fax:440-287-6081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty