Provider Demographics
NPI:1063604866
Name:HEALING HANDS THERAPEUTIC MASSAGE, LLC.
Entity type:Organization
Organization Name:HEALING HANDS THERAPEUTIC MASSAGE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:CUMMINGS-HESSE
Authorized Official - Suffix:
Authorized Official - Credentials:LCMT
Authorized Official - Phone:540-898-9434
Mailing Address - Street 1:PO BOX 1284
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-1284
Mailing Address - Country:US
Mailing Address - Phone:540-898-9434
Mailing Address - Fax:540-898-9411
Practice Address - Street 1:10411 COURT HOUSE ROAD
Practice Address - Street 2:SUITE C
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553
Practice Address - Country:US
Practice Address - Phone:540-898-9434
Practice Address - Fax:540-898-9411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019005103225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty