Provider Demographics
NPI:1114073608
Name:ALLIED MASSAGE THERAPY INCORPORATED
Entity Type:Organization
Organization Name:ALLIED MASSAGE THERAPY INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINOS-MANTAY
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:586-264-0991
Mailing Address - Street 1:2295 METROPOLITAN PKWY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4293
Mailing Address - Country:US
Mailing Address - Phone:586-264-0991
Mailing Address - Fax:
Practice Address - Street 1:2295 METROPOLITAN PKWY
Practice Address - Street 2:SUITE 140
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4293
Practice Address - Country:US
Practice Address - Phone:586-264-0991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty