Provider Demographics
NPI:1215111695
Name:HAND WITH HEART THERAPY, INC
Entity type:Organization
Organization Name:HAND WITH HEART THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:W
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-606-0295
Mailing Address - Street 1:204 MERRIWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3853
Mailing Address - Country:US
Mailing Address - Phone:828-890-8941
Mailing Address - Fax:828-890-8941
Practice Address - Street 1:130 EAGLES REACH DRIVE
Practice Address - Street 2:DAVID SINK BLD-BRCC
Practice Address - City:FLAT ROCK
Practice Address - State:NC
Practice Address - Zip Code:28731-4728
Practice Address - Country:US
Practice Address - Phone:828-606-0295
Practice Address - Fax:828-890-8941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1376225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7212289Medicaid