Provider Demographics
NPI:1124674718
Name:SOULRISE STUDIOS LLC
Entity type:Organization
Organization Name:SOULRISE STUDIOS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELA
Authorized Official - Middle Name:
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:480-385-9493
Mailing Address - Street 1:2024 N 7TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2515
Mailing Address - Country:US
Mailing Address - Phone:602-529-2215
Mailing Address - Fax:
Practice Address - Street 1:2024 N 7TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2515
Practice Address - Country:US
Practice Address - Phone:602-529-2215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOULRISE STUDIOS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-10
Last Update Date:2019-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty