Provider Demographics
NPI:1538495288
Name:PRECISION THERAPY SERVICES, L.L.C.
Entity type:Organization
Organization Name:PRECISION THERAPY SERVICES, L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER & PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACHARIAH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WELDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-360-8172
Mailing Address - Street 1:2600 VAN BUREN ST
Mailing Address - Street 2:SUITE 2604
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-5640
Mailing Address - Country:US
Mailing Address - Phone:405-360-8172
Mailing Address - Fax:405-360-8167
Practice Address - Street 1:2600 VAN BUREN ST
Practice Address - Street 2:SUITE 2604
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-5640
Practice Address - Country:US
Practice Address - Phone:405-360-8172
Practice Address - Fax:405-360-8167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health