Organization · NPI-2

901 Therapy Of Collierville LLC

Speech-Language Pathologist, · Collierville, TN

NPI number1023817012

StatusActive

Last updated in NPPESMar 25, 2025

Details

NPI: 1023817012
Entity type: Organization (NPI-2)
Legal business name: 901 Therapy Of Collierville LLC
Organization subpart: No
Enumeration date: Mar 11, 2025
Certification date: Mar 25, 2025
Last updated: Mar 25, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
235Z00000X	Speech-Language Pathologist,	–	–	Yes
224Z00000X	Occupational Therapy Assistant	–	–
225200000X	Physical Therapy Assistant	–	–
225X00000X	Occupational Therapist	–	–
261QP2000X	Clinic/Center, Physical Therapy	–	–

Other names

901 Therapy (Doing Business As)

Practice location

440 W Us Highway 72 Ste 2
Collierville, TN 38017-2804

Phone 901-221-8244

Mailing address

440 W Us Highway 72 Ste 2
Collierville, TN 38017-2804

Phone 901-221-8244

Authorized official

Christy Erin Flores
Slp
9014889666

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