IMPACT THERAPY LLC NPI 1447340732

NPI Information

  • NPI: 1447340732
  • Provider Name: IMPACT THERAPY, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1725 HERMITAGE BLVD
    TALLAHASSEE, FL
    ZIP 32308
  • Phone: (850) 325-6301

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NPI Details

IMPACT THERAPY, LLC is a specialist in Tallahassee, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. IMPACT THERAPY, LLC NPI is 1447340732. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1725 HERMITAGE BLVD
TALLAHASSEE, FL
ZIP 32308-709
Phone: (850) 325-6301
Fax: (850) 325-6302

The provider's authorized official is Kelly Quin Prejean .
The authorized official title is Clinic Director and has the following contact phone number (850) 325-6301.

The enumeration date for this NPI number is 10/15/2006 and was last updated on 6/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistOT10243FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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