Provider Demographics
NPI:1194875708
Name:PERSONAL TOUCH WELLNESS CENTER
Entity type:Organization
Organization Name:PERSONAL TOUCH WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MASON-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-277-5625
Mailing Address - Street 1:1111 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-4305
Mailing Address - Country:US
Mailing Address - Phone:610-277-5625
Mailing Address - Fax:610-277-0535
Practice Address - Street 1:1111 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-4305
Practice Address - Country:US
Practice Address - Phone:610-277-5625
Practice Address - Fax:610-277-0535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA008539L261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy