Provider Demographics
NPI:1821057142
Name:FARMINGTON HAND AND PHYSICAL THERAPY
Entity Type:Organization
Organization Name:FARMINGTON HAND AND PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GEILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-756-2320
Mailing Address - Street 1:1280 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63640-2932
Mailing Address - Country:US
Mailing Address - Phone:573-756-2320
Mailing Address - Fax:573-760-8677
Practice Address - Street 1:1280 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MO
Practice Address - Zip Code:63640-2932
Practice Address - Country:US
Practice Address - Phone:573-756-2320
Practice Address - Fax:573-760-8677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO335559OtherHEALTHLINK
MO55803OtherGHP/CMR
MO6400084OtherUHC
MO114925OtherBCBS
MO114925OtherBCBS
MO6400084OtherUHC
MO=========OtherCIGNA
MO335559OtherHEALTHLINK
MO55803OtherGHP/CMR
MO55803OtherGHP/CMR