Provider Demographics
NPI:1467241273
Name:PROFOUND TOUCH
Entity type:Organization
Organization Name:PROFOUND TOUCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTHOLOMEW
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:214-208-2939
Mailing Address - Street 1:205 E MONROE ST # 206
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-2424
Mailing Address - Country:US
Mailing Address - Phone:512-222-6710
Mailing Address - Fax:
Practice Address - Street 1:205 E MONROE ST # 206
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-2424
Practice Address - Country:US
Practice Address - Phone:512-222-6710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty