Healthcare Provider Details

I. General information

NPI: 1659556801
Provider Name (Legal Business Name): HANDS ON THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2008
Last Update Date: 01/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4360 WALNUT CREEK DR
LEXINGTON KY
40509-4491
US

IV. Provider business mailing address

4360 WALNUT CREEK DR
LEXINGTON KY
40509-4491
US

V. Phone/Fax

Practice location:
  • Phone: 859-699-6993
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License NumberKYR3138
License Number StateKY

VIII. Authorized Official

Name: MRS. ALISON BUCHANAN
Title or Position: PRESIDENT
Credential:
Phone: 859-699-6993