Provider Demographics
NPI:1962135574
Name:THERAPY CONNECTION LLC
Entity type:Organization
Organization Name:THERAPY CONNECTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:319-296-5879
Mailing Address - Street 1:3775 EP TRUE PKWY STE 333
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-7696
Mailing Address - Country:US
Mailing Address - Phone:319-296-5879
Mailing Address - Fax:
Practice Address - Street 1:1209 S 52ND ST UNIT 1107
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-5473
Practice Address - Country:US
Practice Address - Phone:319-296-5879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-01
Last Update Date:2022-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty