Provider Demographics
NPI:1215771712
Name:WHAT KNOTS MASSAGE THERAPY CLINIC, LLC
Entity type:Organization
Organization Name:WHAT KNOTS MASSAGE THERAPY CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:MICHALA
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:
Authorized Official - Credentials:MMT, MMP, CMLDT
Authorized Official - Phone:479-214-0888
Mailing Address - Street 1:203 W SEVIER ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72830-3658
Mailing Address - Country:US
Mailing Address - Phone:479-214-0888
Mailing Address - Fax:
Practice Address - Street 1:203 W SEVIER ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72830-3658
Practice Address - Country:US
Practice Address - Phone:479-214-0888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty