Healthcare Provider Details

I. General information

NPI: 1255661229
Provider Name (Legal Business Name): HANDS ON HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2010
Last Update Date: 01/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 N MAIN ST
ELGIN ND
58533-7108
US

IV. Provider business mailing address

601 MAIN AVE
LEMMON SD
57638-1834
US

V. Phone/Fax

Practice location:
  • Phone: 605-374-5844
  • Fax: 605-374-9524
Mailing address:
  • Phone: 605-374-5844
  • Fax: 605-374-9524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: COLLEEN OLIVER
Title or Position: OWNER/PRESIDENT
Credential: PT
Phone: 605-374-5844