Provider Demographics
NPI:1124599956
Name:CERTIFIED HAND THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:CERTIFIED HAND THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAOY
Authorized Official - Prefix:MS
Authorized Official - First Name:MITIZI
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:BSPT
Authorized Official - Phone:720-829-2564
Mailing Address - Street 1:121 S TEJON ST STE 900
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2207
Mailing Address - Country:US
Mailing Address - Phone:720-829-2564
Mailing Address - Fax:
Practice Address - Street 1:1800 30TH ST STE 206
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1026
Practice Address - Country:US
Practice Address - Phone:720-845-0001
Practice Address - Fax:720-204-1748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-05
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHandGroup - Multi-Specialty