Organization
AEGIS THERAPIES, INC.
Active
Parent organization
AEGIS MID TIER HOLDING CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEGIS MID TIER HOLDING CORP
Authorized official
HOLLY RASMUSSEN-JONES (SECRETARY)
(479) 201-4835
Entity
Organization
Contact information
Practice address
9 WAVELAND AVE, WINCHESTER, KY 40391-1231
(877) 823-8375
Mailing address
4933 OLD GREENWOOD RD, FORT SMITH, AR 72903-6906
(877) 823-8375
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
11/03/2015
Last updated
03/10/2022
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