Healthcare Provider Details

I. General information

NPI: 1437175692
Provider Name (Legal Business Name): SHEPARD HAND THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 MAIN ST
PLAISTOW NH
03865-3005
US

IV. Provider business mailing address

49 MAIN ST
PLAISTOW NH
03865-3005
US

V. Phone/Fax

Practice location:
  • Phone: 603-382-3031
  • Fax: 603-382-5580
Mailing address:
  • Phone: 603-382-3031
  • Fax: 603-382-5580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0684
License Number StateNH

VIII. Authorized Official

Name: DENISE M BOYER
Title or Position: OFFICE MANAGER
Credential:
Phone: 603-382-3031