Healthcare Provider Details

I. General information

NPI: 1609299825
Provider Name (Legal Business Name): HEALING HANDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2014
Last Update Date: 01/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 SOUTHGATE PLZ
MAYSVILLE KY
41056-9132
US

IV. Provider business mailing address

1335 SOUTHGATE PLZ
MAYSVILLE KY
41056-9132
US

V. Phone/Fax

Practice location:
  • Phone: 606-564-4213
  • Fax: 606-564-4406
Mailing address:
  • Phone: 606-564-4213
  • Fax: 606-564-4406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5422
License Number StateKY

VIII. Authorized Official

Name: RITA R GOLDMAN
Title or Position: DC/OWNER
Credential: DC
Phone: 606-564-4213