Healthcare Provider Details

I. General information

NPI: 1821061847
Provider Name (Legal Business Name): HANDS ON HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 MAIN AVE
LEMMON SD
57638-1834
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 StateSD
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateSD

VIII. Authorized Official

Name: DREW D PETERSEN
Title or Position: PRESIDENT, OWNER
Credential: PT, DPT
Phone: 605-374-5844