Provider Demographics
NPI:1588134779
Name:GENTLE TOUCH THERAPY, LLC
Entity type:Organization
Organization Name:GENTLE TOUCH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBROZY
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:586-477-1580
Mailing Address - Street 1:16100 19 MILE RD STE 900
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1148
Mailing Address - Country:US
Mailing Address - Phone:586-477-0880
Mailing Address - Fax:
Practice Address - Street 1:16100 19 MILE ROAD
Practice Address - Street 2:SUITE 900
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-1148
Practice Address - Country:US
Practice Address - Phone:586-477-0880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy