Provider Demographics
NPI:1124200639
Name:HEAD TO TOE MASSAGE AND SPA
Entity Type:Organization
Organization Name:HEAD TO TOE MASSAGE AND SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:YUNDT
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:561-748-1026
Mailing Address - Street 1:150 N US HIGHWAY 1
Mailing Address - Street 2:STE.3-A
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-2723
Mailing Address - Country:US
Mailing Address - Phone:561-748-1026
Mailing Address - Fax:
Practice Address - Street 1:150 N US HIGHWAY 1
Practice Address - Street 2:STE.3-A
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-2723
Practice Address - Country:US
Practice Address - Phone:561-748-1026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty