Provider Demographics
NPI:1083105068
Name:DARLINE SERVICES
Entity Type:Organization
Organization Name:DARLINE SERVICES
Other - Org Name:A COMPASSIONATE HART MASSAGE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:814-456-5833
Mailing Address - Street 1:1414 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16503-1710
Mailing Address - Country:US
Mailing Address - Phone:814-456-5833
Mailing Address - Fax:
Practice Address - Street 1:814 KAHKWA BLVD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-4920
Practice Address - Country:US
Practice Address - Phone:814-456-5833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-24
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG000713225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty