Provider Demographics
NPI:1609004605
Name:3 IN THERAPY, LLC
Entity type:Organization
Organization Name:3 IN THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PT, CSCS
Authorized Official - Phone:678-665-2436
Mailing Address - Street 1:7075 SUMMIT RIDGE CHASE
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-5558
Mailing Address - Country:US
Mailing Address - Phone:678-665-2436
Mailing Address - Fax:404-745-0465
Practice Address - Street 1:5482 CHAMBLEE DUNWOODY RD
Practice Address - Street 2:SUITE 29A
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-4142
Practice Address - Country:US
Practice Address - Phone:404-909-6960
Practice Address - Fax:404-745-0465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009067261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy