Provider Demographics
NPI:1730115031
Name:HANDWORX LLC
Entity Type:Organization
Organization Name:HANDWORX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:B
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:PT CHT
Authorized Official - Phone:913-209-9558
Mailing Address - Street 1:18540 METCALF AVE
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:KS
Mailing Address - Zip Code:66085-9450
Mailing Address - Country:US
Mailing Address - Phone:913-209-9558
Mailing Address - Fax:913-402-1906
Practice Address - Street 1:18540 METCALF AVE
Practice Address - Street 2:
Practice Address - City:STILWELL
Practice Address - State:KS
Practice Address - Zip Code:66085-9450
Practice Address - Country:US
Practice Address - Phone:913-209-9558
Practice Address - Fax:913-402-1906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-03103261QP2000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS36910011OtherGROUP#BCBSKC
KS36910011OtherGROUP#BCBSKC