Provider Demographics
NPI:1609222132
Name:THERAPY CONNECTIONS
Entity Type:Organization
Organization Name:THERAPY CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:LAURIE
Authorized Official - Last Name:HATA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, LMP
Authorized Official - Phone:509-469-4996
Mailing Address - Street 1:PO BOX 9246
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98909-0246
Mailing Address - Country:US
Mailing Address - Phone:509-469-4996
Mailing Address - Fax:509-469-4922
Practice Address - Street 1:307 SOUTH 12TH AVENUE
Practice Address - Street 2:SUITE 5
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902
Practice Address - Country:US
Practice Address - Phone:509-469-4996
Practice Address - Fax:509-469-4922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60016860225700000X
WAOT00000673225X00000X
225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty