Contract Details
Ancillary Care Services
Facility name
Healing Hands Chiropractic, Massage, and Acupuncture
Provider ID
P000005155
NPI
1700870359
Tax ID
650804337
Effective Date
4/1/2012
Last Updated
10/2/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
23 Webb Street
Osprey, FL 34229
United States
County
Sarasota
Phone
9419665213 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address