Provider Demographics
NPI:1043576846
Name:NATURE OF BODY LLC
Entity Type:Organization
Organization Name:NATURE OF BODY LLC
Other - Org Name:NATURE OF BODY THERAPEUTIC AND PREGNANCY MASSAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLLMER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:971-678-5846
Mailing Address - Street 1:1804 NE 45TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-1416
Mailing Address - Country:US
Mailing Address - Phone:971-678-5846
Mailing Address - Fax:
Practice Address - Street 1:1804 NE 45TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-1416
Practice Address - Country:US
Practice Address - Phone:971-678-5846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR14790225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty