Provider Demographics
NPI:1043353675
Name:HANDS-ON THERAPEUTIC BODYWORK
Entity Type:Organization
Organization Name:HANDS-ON THERAPEUTIC BODYWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DARCEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:509-443-7243
Mailing Address - Street 1:3307 S FISKE ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-4646
Mailing Address - Country:US
Mailing Address - Phone:509-443-7243
Mailing Address - Fax:
Practice Address - Street 1:3307 S FISKE ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-4646
Practice Address - Country:US
Practice Address - Phone:509-443-7243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00004666225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty