Provider Demographics
NPI:1427856020
Name:MEDICAL MASSAGE AND WELLNESS CENTER
Entity type:Organization
Organization Name:MEDICAL MASSAGE AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-440-0036
Mailing Address - Street 1:657 HITE RD
Mailing Address - Street 2:
Mailing Address - City:HARWICK
Mailing Address - State:PA
Mailing Address - Zip Code:15049-8946
Mailing Address - Country:US
Mailing Address - Phone:724-274-3211
Mailing Address - Fax:
Practice Address - Street 1:657 HITE RD
Practice Address - Street 2:
Practice Address - City:HARWICK
Practice Address - State:PA
Practice Address - Zip Code:15049-8946
Practice Address - Country:US
Practice Address - Phone:724-274-3211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty