# THERAPEUTIC HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952705386
- **Authorized official:** MR. BEN WESLEY TYSON (M)
- **Authorized official phone:** (229) 386-2534

## Contact information

- **Practice address:** 223 CENTRAL AVE N, TIFTON, GA 31794-4344
- **Practice address phone:** (229) 387-7111
- **Practice address fax:** (229) 387-7111
- **Mailing address:** 2111 FERRY LAKE RD, TIFTON, GA 31794-2961
- **Mailing address phone:** (229) 386-2534
- **Mailing address fax:** (229) 386-2534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 10/14/2014
- **Last updated:** 10/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1245292291 | NPI | GA |
| 01 | — | 1265734750 | NPI | GA |