Healthcare Provider Details

I. General information

NPI: 1295321149
Provider Name (Legal Business Name): THIES HAND THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2020
Last Update Date: 12/15/2020
Certification Date: 12/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9377 E BELL RD STE 101
SCOTTSDALE AZ
85260-1503
US

IV. Provider business mailing address

9377 E BELL RD STE 101
SCOTTSDALE AZ
85260-1503
US

V. Phone/Fax

Practice location:
  • Phone: 602-689-6538
  • Fax:
Mailing address:
  • Phone: 602-689-6538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: BRIAN THIES
Title or Position: OWNER
Credential: OT
Phone: 602-689-6538