Provider Demographics
NPI:1356848808
Name:HANDS OF HEALTH AND REHABILITATION
Entity type:Organization
Organization Name:HANDS OF HEALTH AND REHABILITATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR
Authorized Official - Phone:901-921-3533
Mailing Address - Street 1:2518 EAGLERIDGE LN W
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-8458
Mailing Address - Country:US
Mailing Address - Phone:901-921-3533
Mailing Address - Fax:
Practice Address - Street 1:80 TILLMAN ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-2700
Practice Address - Country:US
Practice Address - Phone:901-921-3533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANDS OF HEALTH AND REHAB
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN261QR0400X
TNTN3785261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN=========OtherCHIROPRACTIC