Provider Demographics
NPI:1114152899
Name:TOUCH OF HEALTH CARE THERAPY
Entity Type:Organization
Organization Name:TOUCH OF HEALTH CARE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SYBLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:870-836-0980
Mailing Address - Street 1:PO BOX 1420
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:AR
Mailing Address - Zip Code:71711-2420
Mailing Address - Country:US
Mailing Address - Phone:870-836-0980
Mailing Address - Fax:870-836-0980
Practice Address - Street 1:636 CRESTWOOD RD
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:AR
Practice Address - Zip Code:71701-2715
Practice Address - Country:US
Practice Address - Phone:870-836-0980
Practice Address - Fax:870-836-0980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-24
Last Update Date:2009-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1316225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty