Provider Demographics
NPI:1568031821
Name:HANDS ON THERAPEUTIC SERVICES LLC
Entity Type:Organization
Organization Name:HANDS ON THERAPEUTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:ELLSBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-365-8545
Mailing Address - Street 1:805 ON THE GRN
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-3229
Mailing Address - Country:US
Mailing Address - Phone:228-365-8545
Mailing Address - Fax:
Practice Address - Street 1:805 ON THE GRN
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39532-3229
Practice Address - Country:US
Practice Address - Phone:228-365-8545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty