Healthcare Provider Details

I. General information

NPI: 1760064844
Provider Name (Legal Business Name): HOT SPRINGS HAND THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2021
Last Update Date: 09/03/2021
Certification Date: 08/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 GARRISON RD
HOT SPRINGS AR
71913-8001
US

IV. Provider business mailing address

207 KLEINSHORE RD
HOT SPRINGS AR
71913-8001
US

V. Phone/Fax

Practice location:
  • Phone: 501-940-1103
  • Fax: 501-694-9770
Mailing address:
  • Phone: 501-940-1103
  • Fax: 501-694-9770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: LAURA HUTTS
Title or Position: CEO
Credential: OTR/L
Phone: 501-940-1103