Healthcare Provider Details

I. General information

NPI: 1003998600
Provider Name (Legal Business Name): HEAVEN'S HANDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 N CHESTNUT ST SUITE 109
LA CRESCENT MN
55947-1280
US

IV. Provider business mailing address

205 N CHESTNUT ST SUITE 109
LA CRESCENT MN
55947-1280
US

V. Phone/Fax

Practice location:
  • Phone: 507-895-5000
  • Fax: 507-895-8185
Mailing address:
  • Phone: 507-895-5000
  • Fax: 507-895-8185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: THOMAS TORNSTROM
Title or Position: VP
Credential:
Phone: 507-895-5000