Provider Demographics
NPI:1124733597
Name:MESSAGE OF MASSAGE
Entity type:Organization
Organization Name:MESSAGE OF MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-513-2969
Mailing Address - Street 1:80 GARDEN CENTER
Mailing Address - Street 2:BLDG B #59
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020
Mailing Address - Country:US
Mailing Address - Phone:303-513-2969
Mailing Address - Fax:303-785-8331
Practice Address - Street 1:80 GARDEN CENTER
Practice Address - Street 2:BLDG B #59
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020
Practice Address - Country:US
Practice Address - Phone:303-513-2969
Practice Address - Fax:303-785-8331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty