Organization
HANDS IN HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLI L DATRES DC (CHAIRMAN)
(570) 916-5554
Entity
Organization
Contact information
Practice address
1017 WASHINGTON BLVD, SUITE A, WILLIAMSPORT, PA 17701-3633
(570) 916-5554
(570) 329-2283
Mailing address
1730 BRISTOL AVE, STATE COLLEGE, PA 16801-3071
(570) 916-5554
(570) 329-2283
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010094
PA
111N00000X
Chiropractor
DC010095
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147474
PENNSYLVANIA BLUE SHIELD
PA
Enumeration date
07/15/2011
Last updated
07/15/2011
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