Provider Demographics
NPI:1578221669
Name:PRACTITIONER TOUCH LLC
Entity Type:Organization
Organization Name:PRACTITIONER TOUCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/APRN
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:270-228-2489
Mailing Address - Street 1:257 RAVENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HANSON
Mailing Address - State:KY
Mailing Address - Zip Code:42413-9363
Mailing Address - Country:US
Mailing Address - Phone:270-213-1680
Mailing Address - Fax:
Practice Address - Street 1:243 E. AYR PARKWAY
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-4243
Practice Address - Country:US
Practice Address - Phone:270-228-2489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty