Healthcare Provider Details

I. General information

NPI: 1720140031
Provider Name (Legal Business Name): HAND THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 07/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11135 MANCHESTER RD
SAINT LOUIS MO
63122-1253
US

IV. Provider business mailing address

11135 MANCHESTER RD
SAINT LOUIS MO
63122-1253
US

V. Phone/Fax

Practice location:
  • Phone: 314-822-4400
  • Fax: 314-822-4111
Mailing address:
  • Phone: 314-822-4400
  • Fax: 314-822-4111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANN C KAMMIEN
Title or Position: OWNER
Credential: PT
Phone: 314-822-4400