Provider Demographics
NPI:1194249284
Name:TWIN FLAMES MASSAGE & WELLNESS CENTRE
Entity type:Organization
Organization Name:TWIN FLAMES MASSAGE & WELLNESS CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMBREY
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:GROVES
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:712-281-4280
Mailing Address - Street 1:PO BOX 121
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:IA
Mailing Address - Zip Code:51001-0121
Mailing Address - Country:US
Mailing Address - Phone:712-281-4280
Mailing Address - Fax:
Practice Address - Street 1:121 SOUTH ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:IA
Practice Address - Zip Code:51001-7716
Practice Address - Country:US
Practice Address - Phone:712-281-4280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-31
Last Update Date:2017-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA083316225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty