| Creekside Therapy Services | |
|
1531 Willow Rd Hutchinson KS 67502-2613 | |
| (620) 200-0234 | |
| Not Available |
| Full Name | Creekside Therapy Services |
|---|---|
| Speciality | Social Worker |
| Location | 1531 Willow Rd, Hutchinson, Kansas |
| Authorized Official Name and Position | Tamara S. Madden (SOLE MBR) |
| Authorized Official Contact | 6202000234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Therapy Services 1531 Willow Rd Hutchinson KS 67502-2613 Ph: (620) 200-0234 | Creekside Therapy Services 1531 Willow Rd Hutchinson KS 67502-2613 Ph: (620) 200-0234 |
| NPI Number | 1477088938 |
|---|---|
| Provider Enumeration Date | 04/21/2017 |
| Last Update Date | 05/10/2017 |
| Medicare PECOS PAC ID | 9638447634 |
|---|---|
| Medicare Enrollment ID | O20170615001862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477088938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3929 (Kansas) | Primary |
| Provider Name | Tamara S Madden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073610929 PECOS PAC ID: 4385770775 Enrollment ID: I20100324000832 |
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