Healthcare Provider Details

I. General information

NPI: 1396739793
Provider Name (Legal Business Name): HANDS IN MOTION OT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2360 MULLAN RD STE D
MISSOULA MT
59808-1811
US

IV. Provider business mailing address

2360 MULLAN RD STE D
MISSOULA MT
59808-1811
US

V. Phone/Fax

Practice location:
  • Phone: 406-541-4263
  • Fax: 406-541-4264
Mailing address:
  • Phone: 406-541-4263
  • Fax: 406-541-4264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number51
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: KAY LYNN KRAMER
Title or Position: OWNER / THERAPIST
Credential: OTRL, CHT
Phone: 406-541-4263