Provider Demographics
NPI:1164749453
Name:SIGNATURE MASSAGE BY PILAR
Entity Type:Organization
Organization Name:SIGNATURE MASSAGE BY PILAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PILAR
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOOK
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:727-412-1370
Mailing Address - Street 1:PO BOX 1526
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33731-1526
Mailing Address - Country:US
Mailing Address - Phone:727-412-1370
Mailing Address - Fax:
Practice Address - Street 1:333 1ST ST NE STE B&C
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-2988
Practice Address - Country:US
Practice Address - Phone:727-412-1370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA46273225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty