Provider Demographics
NPI:1194875468
Name:COMPRESSION THERAPY SERVICES, INC.
Entity type:Organization
Organization Name:COMPRESSION THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-333-3820
Mailing Address - Street 1:780 W LAKE LANSING RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8474
Mailing Address - Country:US
Mailing Address - Phone:517-333-3820
Mailing Address - Fax:517-853-3769
Practice Address - Street 1:780 W LAKE LANSING RD
Practice Address - Street 2:SUITE 300
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-8474
Practice Address - Country:US
Practice Address - Phone:517-333-3820
Practice Address - Fax:517-853-3769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI900028444OtherPRIORITY HEALTH
MI4798192Medicaid
MI540C313700OtherBLUE CROSS BLUE SHIELD
MI540C313700OtherBLUE CROSS BLUE SHIELD