Provider Demographics
NPI:1396739793
Name:HANDS IN MOTION OT LLC
Entity type:Organization
Organization Name:HANDS IN MOTION OT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL, CHT
Authorized Official - Phone:406-541-4263
Mailing Address - Street 1:2360 MULLAN RD
Mailing Address - Street 2:STE D
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-1811
Mailing Address - Country:US
Mailing Address - Phone:406-541-4263
Mailing Address - Fax:406-541-4264
Practice Address - Street 1:2360 MULLAN RD
Practice Address - Street 2:STE D
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-1811
Practice Address - Country:US
Practice Address - Phone:406-541-4263
Practice Address - Fax:406-541-4264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
335E00000X
MT51225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT5606124Medicaid
MTDG4123OtherRAILROAD GRP
MT4500840001Medicare NSC
MT000082496Medicare PIN