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NPI 1821061847

NPI 1821061847 : HANDS ON HEALTH, INC. : LEMMON, SD

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General NPI Number Information
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    NPI Number           |    1821061847
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    Entity Type          |    Organization 
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    Legal Business Name  |    HANDS ON HEALTH, INC. 
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Dates
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    Enumeration Date     |    02/09/2006
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    Last Update Date     |    10/27/2023
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Provider Practice Location Address
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    Address Line         |    601 MAIN AVE 
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    City                 |    LEMMON
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    State                |    SD
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    Zip                  |    57638-1834
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    Country              |    US
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    Telephone            |    605-374-5844
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    Fax                  |    605-374-9524
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Provider Business Mailing Address
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    Address Line         |    601 MAIN AVE 
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    City                 |    LEMMON
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    State                |    SD
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    Zip                  |    57638-1834
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    Country              |    US
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    Telephone            |    605-374-5844
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    Fax                  |    605-374-9524
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Authorized Official
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    Title or Position    |    PRESIDENT, OWNER
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    Name                 |     DREW D PETERSEN 
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    Credential           |    PT, DPT
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    Telephone            |    605-374-5844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    SD
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    SD
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