Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Impact Therapy, LLC

Organization Specialist · NPI 1447340732

Impact Therapy, LLC provides Specialist services in Tallahassee, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1725 Hermitage Blvd
Tallahassee, FL 32308-7709
Phone: (850) 325-6301
Fax: (850) 325-6302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence OT10243 (FL)

Record details

NPI number1447340732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Prejean — Clinic Director · (850) 325-6301
NPI enumeratedOctober 15, 2006
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing address1717 Hermitage Blvd, Tallahassee, FL 32308-7709

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