Provider Demographics
NPI:1558196568
Name:TREADWAY THERAPEUTIC MASSAGE AND WELLNESS
Entity type:Organization
Organization Name:TREADWAY THERAPEUTIC MASSAGE AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:BLAKE
Authorized Official - Last Name:TREADWAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:740-706-3492
Mailing Address - Street 1:200 PUTNAM ST STE 516
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-3010
Mailing Address - Country:US
Mailing Address - Phone:740-706-3492
Mailing Address - Fax:
Practice Address - Street 1:200 PUTNAM ST STE 516
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-3010
Practice Address - Country:US
Practice Address - Phone:740-706-3492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty