Provider Demographics
NPI:1972982270
Name:CARPAL TUNNEL COACHING INC
Entity type:Organization
Organization Name:CARPAL TUNNEL COACHING INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:JUMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-660-9469
Mailing Address - Street 1:PO BOX 7305
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-0305
Mailing Address - Country:US
Mailing Address - Phone:941-677-3785
Mailing Address - Fax:
Practice Address - Street 1:15208 CRICKET LN
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-8316
Practice Address - Country:US
Practice Address - Phone:941-677-3785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies