Provider Demographics
NPI:1255972881
Name:NEUROTOUR SAN FRANCISCO INC.
Entity type:Organization
Organization Name:NEUROTOUR SAN FRANCISCO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCABEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-356-4426
Mailing Address - Street 1:1229 JOHNSON FERRY RD STE 202
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-5416
Mailing Address - Country:US
Mailing Address - Phone:865-356-4426
Mailing Address - Fax:
Practice Address - Street 1:1 HALLIDIE PLZ STE 404B
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-2844
Practice Address - Country:US
Practice Address - Phone:770-851-9527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty