Healthcare Provider Details

I. General information

NPI: 1124523287
Provider Name (Legal Business Name): HANDS OF HEALTH AND REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 N. TILLMAN ST. STE. 104
MEMPHIS TN
38111
US

IV. Provider business mailing address

2518 EAGLERIDGE LN W STE 104
CORDOVA TN
38016-8458
US

V. Phone/Fax

Practice location:
  • Phone: 901-921-3533
  • Fax:
Mailing address:
  • Phone: 901-921-3533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JANICE C ALLEN
Title or Position: MASSAGE THERAPIST
Credential: MASSAGE THERAPY
Phone: 901-921-3533