NPI 1013783711 · live from the CMS NPI Registry
850 Therapy, LLC
Speech-Language Pathologist, in Crestview, FL. National Provider Identifier 1013783711, active.
NPI record
| NPI | 1013783711 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 124 John King Rd, Crestview, FL 32539 |
| Practice phone | 850-634-6020 |
| Enumerated | December 4, 2023 |
| Last updated | December 4, 2023 |
| Authorized official | Gabrielle Brooks-Griffith, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Occupational Medicine | 261QX0100X | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — |
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.