Healthcare Provider Details

I. General information

NPI: 1215690904
Provider Name (Legal Business Name): HANTHONYS HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 10/19/2021
Certification Date: 10/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5890 DATUNE CT
COLUMBUS OH
43229-2755
US

IV. Provider business mailing address

5890 DATUNE CT
COLUMBUS OH
43229-2755
US

V. Phone/Fax

Practice location:
  • Phone: 614-404-1352
  • Fax:
Mailing address:
  • Phone: 614-404-1352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. HANNAH RAINE TUTT
Title or Position: CEO
Credential: STNA
Phone: 614-404-1352