# HAND CRAFTED THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467981233
- **Authorized official:** MRS. LAUREN SUE GRAYBILL OTR/L, CLT (OWNER)
- **Authorized official phone:** (208) 568-1983

## Contact information

- **Practice address:** 606 N FIFTH AVE, SANDPOINT, ID 83864-1520
- **Practice address phone:** (208) 568-1983
- **Practice address fax:** (208) 667-2119
- **Mailing address:** PO BOX 822, SAGLE, ID 83860-0822
- **Mailing address phone:** (208) 568-1983
- **Mailing address fax:** (208) 568-1983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/06/2017
- **Last updated:** 07/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0004389 | OT LICENSE | CO |