Provider Demographics
NPI:1558847087
Name:HEALING HANDS OUTPATIENT THERAPY AND REHABILITATION CENTER LLC
Entity Type:Organization
Organization Name:HEALING HANDS OUTPATIENT THERAPY AND REHABILITATION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIST
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:765-400-9701
Mailing Address - Street 1:216 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46016-1512
Mailing Address - Country:US
Mailing Address - Phone:765-400-9701
Mailing Address - Fax:317-353-3467
Practice Address - Street 1:216 E 9TH ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46016
Practice Address - Country:US
Practice Address - Phone:765-400-9701
Practice Address - Fax:317-353-3467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-18
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy