Provider Demographics
NPI: | 1215381322 |
---|---|
Name: | RELIEVING HANDS MASSAGE & BEE FIT |
Entity type: | Organization |
Organization Name: | RELIEVING HANDS MASSAGE & BEE FIT |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/MASSAGE THERAPTIST |
Authorized Official - Prefix: | MISS |
Authorized Official - First Name: | MARIANNE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | FORREST |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LMT |
Authorized Official - Phone: | 330-412-3380 |
Mailing Address - Street 1: | 119 S WOOSTER AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | DOVER |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 44622-1944 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 330-412-3380 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 119 S WOOSTER AVE |
Practice Address - Street 2: | |
Practice Address - City: | DOVER |
Practice Address - State: | OH |
Practice Address - Zip Code: | 44622-1944 |
Practice Address - Country: | US |
Practice Address - Phone: | 330-412-3380 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-04-15 |
Last Update Date: | 2016-04-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OH | 33022889 | 174400000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 174400000X | Other Service Providers | Specialist | Group - Single Specialty |