Provider Demographics
NPI:1104360502
Name:CARTIER RAINE LIFESTYLE SPA
Entity Type:Organization
Organization Name:CARTIER RAINE LIFESTYLE SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-647-3695
Mailing Address - Street 1:540 N JEFFERSON ST
Mailing Address - Street 2:BOX 3
Mailing Address - City:LEWISBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24901-8982
Mailing Address - Country:US
Mailing Address - Phone:304-647-3695
Mailing Address - Fax:
Practice Address - Street 1:540 N JEFFERSON ST
Practice Address - Street 2:BOX 3
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901-8982
Practice Address - Country:US
Practice Address - Phone:304-647-3695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty