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Organization
THERASPACE LLP
Active
Organization
THERASPACE LLP
Active
Other names
TheraSPACE LLP
Organization subpart
No
Provider details
NPI number
Authorized official
JACIE L HYATT CCC-SLP (OWNER)
(094) 344-9089
Entity
Organization
Contact information
Practice address
1409 S HIGHWAY 69, NEDERLAND, TX 77627-7842
(409) 344-9089
(409) 344-9390
Mailing address
269 COUNTY ROAD 4185, ORANGE, TX 77632-8620
(409) 670-6566
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
09/25/2025
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