Provider Demographics
NPI:1386918324
Name:KEY THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:KEY THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CLAYPOOL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:601-420-6867
Mailing Address - Street 1:PO BOX 321087
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-1087
Mailing Address - Country:US
Mailing Address - Phone:601-420-6867
Mailing Address - Fax:601-664-1006
Practice Address - Street 1:201 E LAYFAIR DR STE 125
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-7646
Practice Address - Country:US
Practice Address - Phone:601-420-6867
Practice Address - Fax:601-664-1006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0071261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation