Provider Demographics
NPI:1003245192
Name:HEALING HANDS THERAPEUTIC MASSAGE
Entity Type:Organization
Organization Name:HEALING HANDS THERAPEUTIC MASSAGE
Other - Org Name:HEALING HANDS THERAPEUTICMASSAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:CRAWFORD
Authorized Official - Last Name:MCCOLLUM
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:843-862-8043
Mailing Address - Street 1:102 DARRYL LN
Mailing Address - Street 2:
Mailing Address - City:CLIO
Mailing Address - State:SC
Mailing Address - Zip Code:29525-4441
Mailing Address - Country:US
Mailing Address - Phone:843-862-8043
Mailing Address - Fax:843-586-7942
Practice Address - Street 1:102 DARRYL LN
Practice Address - Street 2:
Practice Address - City:CLIO
Practice Address - State:SC
Practice Address - Zip Code:29525-4441
Practice Address - Country:US
Practice Address - Phone:843-862-8043
Practice Address - Fax:843-586-7942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6863172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty