Provider Demographics
NPI:1427286319
Name:THE THERAPUETIC ART OF HORSEMANSHIP
Entity type:Organization
Organization Name:THE THERAPUETIC ART OF HORSEMANSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, EAP
Authorized Official - Phone:520-838-4116
Mailing Address - Street 1:12551 S OX CART TRL
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:AZ
Mailing Address - Zip Code:85641-9033
Mailing Address - Country:US
Mailing Address - Phone:520-664-5606
Mailing Address - Fax:
Practice Address - Street 1:12551 S OX CART TRL
Practice Address - Street 2:
Practice Address - City:VAIL
Practice Address - State:AZ
Practice Address - Zip Code:85641-9033
Practice Address - Country:US
Practice Address - Phone:520-664-5606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health