Provider Demographics
NPI:1831197219
Name:RELIEVE THERAPY SERVICES, INC.
Entity type:Organization
Organization Name:RELIEVE THERAPY SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNARE
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOUBSER
Authorized Official - Suffix:
Authorized Official - Credentials:PT,OCS,CFMT
Authorized Official - Phone:574-583-9950
Mailing Address - Street 1:906 W. EXECUTIVE COURT
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:IN
Mailing Address - Zip Code:47960
Mailing Address - Country:US
Mailing Address - Phone:574-583-9950
Mailing Address - Fax:574-583-9951
Practice Address - Street 1:906 W. EXECUTIVE COURT
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:IN
Practice Address - Zip Code:47960-1526
Practice Address - Country:US
Practice Address - Phone:574-583-9950
Practice Address - Fax:574-583-9951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05002966A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000182293OtherBC/BS
IN650018976OtherMEDICARE RAILROAD
IN200256490AMedicaid
IN247820OtherMEDICARE PTAN
IN650018976OtherMEDICARE RAILROAD
IN200256490AMedicaid