Provider Demographics
NPI:1316713373
Name:ENDLESS HEALING HANDS MASSAGE LLC
Entity type:Organization
Organization Name:ENDLESS HEALING HANDS MASSAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE
Authorized Official - Prefix:
Authorized Official - First Name:ANDREYA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:502-712-2497
Mailing Address - Street 1:714 LYNDON LN STE 5
Mailing Address - Street 2:
Mailing Address - City:LYNDON
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4643
Mailing Address - Country:US
Mailing Address - Phone:502-712-2497
Mailing Address - Fax:
Practice Address - Street 1:714 LYNDON LN STE 5
Practice Address - Street 2:
Practice Address - City:LYNDON
Practice Address - State:KY
Practice Address - Zip Code:40222-4643
Practice Address - Country:US
Practice Address - Phone:502-712-2497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty