Provider Demographics
NPI:1467885731
Name:HEALING HANDS THERAPY, LLC
Entity Type:Organization
Organization Name:HEALING HANDS THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:915-860-4838
Mailing Address - Street 1:12300 PELLICANO DR
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6857
Mailing Address - Country:US
Mailing Address - Phone:915-860-4838
Mailing Address - Fax:915-860-4839
Practice Address - Street 1:12300 PELLICANO DR
Practice Address - Street 2:SUITE B-2
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6857
Practice Address - Country:US
Practice Address - Phone:915-860-4838
Practice Address - Fax:915-860-4839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-09
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1216579225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty