Provider Demographics
NPI:1982842936
Name:OPEN HANDS HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:OPEN HANDS HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WEIHRAUCH
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:320-257-9026
Mailing Address - Street 1:2350 12TH ST SE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56304-9791
Mailing Address - Country:US
Mailing Address - Phone:320-257-9026
Mailing Address - Fax:320-253-7887
Practice Address - Street 1:730 S BENTON DR
Practice Address - Street 2:
Practice Address - City:SAUK RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:56379-1274
Practice Address - Country:US
Practice Address - Phone:320-257-9026
Practice Address - Fax:320-253-7887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation