Provider Demographics
NPI:1467283697
Name:THE RELAXATION CORPORATION PC
Entity type:Organization
Organization Name:THE RELAXATION CORPORATION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DUGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, PTA, CLT
Authorized Official - Phone:619-379-6999
Mailing Address - Street 1:2771 S 39TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-3235
Mailing Address - Country:US
Mailing Address - Phone:619-379-6999
Mailing Address - Fax:
Practice Address - Street 1:3900 YANKEE HILL RD STE 125
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-7742
Practice Address - Country:US
Practice Address - Phone:402-770-0325
Practice Address - Fax:402-770-0325
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE RELAXATION CORPORATION PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty