Provider Demographics
NPI:1487762530
Name:EAGLE CREEK THERAPY SCHEDULING SERVICES
Entity type:Organization
Organization Name:EAGLE CREEK THERAPY SCHEDULING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:LINDSEY
Authorized Official - Last Name:CAPERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-717-9132
Mailing Address - Street 1:PO BOX 520
Mailing Address - Street 2:
Mailing Address - City:CHINA SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:76633-0520
Mailing Address - Country:US
Mailing Address - Phone:254-717-9132
Mailing Address - Fax:254-836-4393
Practice Address - Street 1:1648 R B BAKER LN
Practice Address - Street 2:
Practice Address - City:VALLEY MILLS
Practice Address - State:TX
Practice Address - Zip Code:76689-2640
Practice Address - Country:US
Practice Address - Phone:254-717-9132
Practice Address - Fax:254-836-4393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health