Provider Demographics
NPI:1073309134
Name:PASS ME KNOT MASSAGE LLC
Entity type:Organization
Organization Name:PASS ME KNOT MASSAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:LABORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-962-2873
Mailing Address - Street 1:2010 OLIVE RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-2056
Mailing Address - Country:US
Mailing Address - Phone:706-386-3390
Mailing Address - Fax:706-305-9922
Practice Address - Street 1:2010 OLIVE RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-2056
Practice Address - Country:US
Practice Address - Phone:706-386-3390
Practice Address - Fax:706-305-9922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center