Provider Demographics
NPI:1528694825
Name:WRIGHT THERAPY GROUP, LLC
Entity type:Organization
Organization Name:WRIGHT THERAPY GROUP, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KADRA
Authorized Official - Middle Name:MCQUEEN
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:803-614-1898
Mailing Address - Street 1:PO BOX 1666
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:SC
Mailing Address - Zip Code:29571-1666
Mailing Address - Country:US
Mailing Address - Phone:803-614-1898
Mailing Address - Fax:888-405-7861
Practice Address - Street 1:609 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:SC
Practice Address - Zip Code:29571-3033
Practice Address - Country:US
Practice Address - Phone:803-614-1898
Practice Address - Fax:888-405-7861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSA1256Medicaid