Provider Demographics
NPI:1821364795
Name:PATHWAYS TO ACHIEVEMENT INC.
Entity type:Organization
Organization Name:PATHWAYS TO ACHIEVEMENT INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:EHNES
Authorized Official - Suffix:
Authorized Official - Credentials:RN BA MA
Authorized Official - Phone:218-721-4732
Mailing Address - Street 1:114 SOUTH 20TH AVENUE WEST
Mailing Address - Street 2:SUITE A
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55806
Mailing Address - Country:US
Mailing Address - Phone:218-721-4732
Mailing Address - Fax:218-491-7185
Practice Address - Street 1:114 S 20TH AVE W
Practice Address - Street 2:SUITE A
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55806-3526
Practice Address - Country:US
Practice Address - Phone:218-721-4732
Practice Address - Fax:218-491-7185
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PATHWAYS TO ACHIEVEMENT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty