Provider Demographics
NPI:1487256210
Name:HEALING HANDS THERAPY LLC
Entity type:Organization
Organization Name:HEALING HANDS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-463-7797
Mailing Address - Street 1:3935 E ROUGH RIDER RD UNIT 1055
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-7350
Mailing Address - Country:US
Mailing Address - Phone:602-463-7797
Mailing Address - Fax:
Practice Address - Street 1:33747 N SCOTTSDALE RD STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85266-1565
Practice Address - Country:US
Practice Address - Phone:602-463-7977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy