Provider Demographics
NPI: | 1598804841 |
---|---|
Name: | THE RIGHT STEP THERAPY SERVICES LLC |
Entity type: | Organization |
Organization Name: | THE RIGHT STEP THERAPY SERVICES LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | REBECCA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | COOK |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | OTR |
Authorized Official - Phone: | 517-914-0800 |
Mailing Address - Street 1: | 5600 KATZ RD |
Mailing Address - Street 2: | ATTN. R COOK |
Mailing Address - City: | GRASS LAKE |
Mailing Address - State: | MI |
Mailing Address - Zip Code: | 49240-9279 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 517-914-0800 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 5600 KATZ RD |
Practice Address - Street 2: | ATTN. R COOK |
Practice Address - City: | GRASS LAKE |
Practice Address - State: | MI |
Practice Address - Zip Code: | 49240-9279 |
Practice Address - Country: | US |
Practice Address - Phone: | 517-914-0800 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-02-05 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MI | B2022A | 261QR0400X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QR0400X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation |