# NANTUCKET THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NANTUCKET THERAPY LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114301264
- **Legal business name:** NANTUCKET THERAPY LLC
- **Authorized official:** CARYNNE KEYES MA/CCC-SLP (OWNER/DIRECTOR)
- **Authorized official phone:** (508) 648-8348

## Contact information

- **Practice address:** 125 ORANGE ST, NANTUCKET, MA 02554-4028
- **Practice address phone:** (508) 221-0228
- **Practice address fax:** (508) 796-6262
- **Mailing address:** 125 ORANGE ST, NANTUCKET, MA 02554-4028
- **Mailing address phone:** (508) 221-0228
- **Mailing address fax:** (508) 796-6262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 10012 | MA | Yes |

## Other

- **Enumeration date:** 07/17/2015
- **Last updated:** 07/17/2015