Provider Demographics
NPI:1033961891
Name:ZELLA'S THERAPEUTIC TOUCH MASSAGE AND BODYWORKS LLC
Entity Type:Organization
Organization Name:ZELLA'S THERAPEUTIC TOUCH MASSAGE AND BODYWORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-454-9757
Mailing Address - Street 1:2603 PROSPERITY ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39213-7044
Mailing Address - Country:US
Mailing Address - Phone:601-454-9757
Mailing Address - Fax:
Practice Address - Street 1:220 AVALON CIR STE C
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39047-7670
Practice Address - Country:US
Practice Address - Phone:601-397-7124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Multi-Specialty