Provider Demographics
NPI:1114221272
Name:HOOFBEATS WITH HEART
Entity Type:Organization
Organization Name:HOOFBEATS WITH HEART
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:CONATSER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:602-793-9676
Mailing Address - Street 1:PO BOX 2098
Mailing Address - Street 2:
Mailing Address - City:HIGLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85236-2098
Mailing Address - Country:US
Mailing Address - Phone:602-421-7718
Mailing Address - Fax:480-888-0343
Practice Address - Street 1:43491 N COYOTE RD
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85140-8924
Practice Address - Country:US
Practice Address - Phone:602-421-7718
Practice Address - Fax:480-888-0338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency