Provider Demographics
NPI:1699917534
Name:THERAPY & BODYWORK CENTER INC
Entity type:Organization
Organization Name:THERAPY & BODYWORK CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPY
Authorized Official - Prefix:MISS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:813-374-9288
Mailing Address - Street 1:4023 N ARMENIA AVE SIUTE 220
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607
Mailing Address - Country:US
Mailing Address - Phone:813-374-9288
Mailing Address - Fax:
Practice Address - Street 1:4023 N ARMENIA AVE SUITE 220
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607
Practice Address - Country:US
Practice Address - Phone:813-374-9288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service