Provider Demographics
NPI:1972911683
Name:COMFORT TOUCH THERAPEUTIC SERVICES, LLC
Entity type:Organization
Organization Name:COMFORT TOUCH THERAPEUTIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LMT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NERIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SUBACH
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:302-584-5924
Mailing Address - Street 1:11 CORDELE RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-5612
Mailing Address - Country:US
Mailing Address - Phone:302-584-5924
Mailing Address - Fax:763-250-6483
Practice Address - Street 1:11 CORDELE RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-5612
Practice Address - Country:US
Practice Address - Phone:302-584-5924
Practice Address - Fax:763-250-6483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEMT-0002952225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty