Provider Demographics
NPI:1346616232
Name:MIDWEST HAND THERAPY LLC
Entity Type:Organization
Organization Name:MIDWEST HAND THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PAULSON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, CHT
Authorized Official - Phone:816-572-3994
Mailing Address - Street 1:8002 N OAK TRFY
Mailing Address - Street 2:SUITE 112
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-1268
Mailing Address - Country:US
Mailing Address - Phone:816-572-3994
Mailing Address - Fax:816-569-5298
Practice Address - Street 1:8002 N OAK TRFY
Practice Address - Street 2:SUITE 112
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-1268
Practice Address - Country:US
Practice Address - Phone:816-572-3994
Practice Address - Fax:816-569-5298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-14
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000160749225XH1200X
MO2000173669225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty