Provider Demographics
NPI:1689776817
Name:HANDS ON THERAPY SPECIALISTS, LLC
Entity Type:Organization
Organization Name:HANDS ON THERAPY SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:262-677-8501
Mailing Address - Street 1:W227N16857 TILLIE LAKE CT
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WI
Mailing Address - Zip Code:53037-9000
Mailing Address - Country:US
Mailing Address - Phone:262-677-8501
Mailing Address - Fax:262-677-2876
Practice Address - Street 1:W227N16861 TILLIE LAKE CT
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WI
Practice Address - Zip Code:53037-9000
Practice Address - Country:US
Practice Address - Phone:262-677-8501
Practice Address - Fax:262-677-2876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000081130Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER