MEDICARE: HANDS IN MOTION OT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier
2	225XP0200X	Pediatric Occupational Therapist	51	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	DG4123	OTHER	MT	RAILROAD GRP

General Provider Information

NPI Number	:	1396739793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS IN MOTION OT LLC

Provider Business Mailing Address
First Line	:	2360 MULLAN RD
Second Line	:	STE D
City	:	MISSOULA
State	:	MT
Zip	:	59808-1811
Country	:	US
Telephone Number	:	406-541-4263
Fax Number	:	406-541-4264

Provider Business Practice Location Address
First Line	:	2360 MULLAN RD
Second Line	:	STE D
City	:	MISSOULA
State	:	MT
Zip	:	59808-1811
Country	:	US
Telephone Number	:	406-541-4263
Fax Number	:	406-541-4264

Authorized Official
Title or Position	:	OWNER / THERAPIST
Name	:	KAY LYNN KRAMER
Credential	:	OTRL, CHT
Telephone Number	:	406-541-4263

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	07/22/2008

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Directions to “HANDS IN MOTION OT LLC ” Practice Location

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