Provider Demographics
NPI:1285948323
Name:HUNTINGTON THERAPY
Entity type:Organization
Organization Name:HUNTINGTON THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-522-1155
Mailing Address - Street 1:1018 6TH AVE
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-2308
Mailing Address - Country:US
Mailing Address - Phone:304-522-1155
Mailing Address - Fax:304-522-1160
Practice Address - Street 1:1018 6TH AVE
Practice Address - Street 2:FLOOR 2
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-2308
Practice Address - Country:US
Practice Address - Phone:304-522-1155
Practice Address - Fax:304-522-1160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty