Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Impact Therapy, LLC

Organization Specialist · NPI 1447340732

Impact Therapy, LLC is a Specialist 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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