Provider Demographics
NPI:1972517936
Name:IN TOUCH THERAPY, PLC
Entity type:Organization
Organization Name:IN TOUCH THERAPY, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:434-447-3322
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:SOUTH HILL
Mailing Address - State:VA
Mailing Address - Zip Code:23970-0217
Mailing Address - Country:US
Mailing Address - Phone:434-447-3322
Mailing Address - Fax:434-447-3282
Practice Address - Street 1:1187 NORTH MECKLENBURG AVENUE
Practice Address - Street 2:
Practice Address - City:LACROSSE
Practice Address - State:VA
Practice Address - Zip Code:23950
Practice Address - Country:US
Practice Address - Phone:434-447-3322
Practice Address - Fax:434-447-3282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305006533261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
DA9746OtherRR MEDICARE ID
C08397Medicare ID - Type Unspecified