Provider Demographics
NPI:1427833359
Name:HEAD2TOE BODYWORK AND SKIN CARE, LLC.
Entity type:Organization
Organization Name:HEAD2TOE BODYWORK AND SKIN CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CARMON
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:443-845-5767
Mailing Address - Street 1:8303 PULASKI HWY STE A
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-2962
Mailing Address - Country:US
Mailing Address - Phone:667-201-3440
Mailing Address - Fax:443-505-8163
Practice Address - Street 1:8303 PULASKI HWY STE A
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-2962
Practice Address - Country:US
Practice Address - Phone:667-201-3440
Practice Address - Fax:443-505-8163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2024-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center