Provider Demographics
NPI:1619379187
Name:SUMMIT HAND REHABILITATION, LLC
Entity Type:Organization
Organization Name:SUMMIT HAND REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:OT/CHT
Authorized Official - Phone:816-836-2500
Mailing Address - Street 1:PO BOX 6586
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-6586
Mailing Address - Country:US
Mailing Address - Phone:816-836-2500
Mailing Address - Fax:816-836-2525
Practice Address - Street 1:300 NE MISSOURI RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-4714
Practice Address - Country:US
Practice Address - Phone:816-836-2500
Practice Address - Fax:816-836-2525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation