Provider Demographics
NPI:1285877241
Name:HEALING TOUCH MASSAGE THERAPY, INC.
Entity type:Organization
Organization Name:HEALING TOUCH MASSAGE THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRESSA
Authorized Official - Middle Name:YAVONNE
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:304-235-1444
Mailing Address - Street 1:PO BOX 405
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSON
Mailing Address - State:WV
Mailing Address - Zip Code:25661-0405
Mailing Address - Country:US
Mailing Address - Phone:304-235-1444
Mailing Address - Fax:304-235-1444
Practice Address - Street 1:411 VICTORIA STREET
Practice Address - Street 2:
Practice Address - City:WILLIAMSON
Practice Address - State:WV
Practice Address - Zip Code:25661
Practice Address - Country:US
Practice Address - Phone:304-235-1444
Practice Address - Fax:304-235-1444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2005-1726261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy