Provider Demographics
NPI:1003516600
Name:PRESS MASSAGE AND RECOVERY CORPORATION
Entity Type:Organization
Organization Name:PRESS MASSAGE AND RECOVERY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL MASSAGE PRACTITIONER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANISHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ETIENNE
Authorized Official - Suffix:
Authorized Official - Credentials:MMT
Authorized Official - Phone:225-605-5857
Mailing Address - Street 1:7516 BLUEBONNET BLVD # 204
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-1627
Mailing Address - Country:US
Mailing Address - Phone:225-605-5857
Mailing Address - Fax:
Practice Address - Street 1:911 RIDGEPOINT CT
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-2898
Practice Address - Country:US
Practice Address - Phone:225-605-5857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty