Provider Demographics
NPI:1164801049
Name:ULTIMATE MASSAGE SERVICES BY NORMA LLC
Entity Type:Organization
Organization Name:ULTIMATE MASSAGE SERVICES BY NORMA LLC
Other - Org Name:A TBU MASSAGE & SKIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:HEIDE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:720-443-0601
Mailing Address - Street 1:11172 HURON ST
Mailing Address - Street 2:20-C
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-4380
Mailing Address - Country:US
Mailing Address - Phone:720-443-0601
Mailing Address - Fax:
Practice Address - Street 1:11172 HURON ST
Practice Address - Street 2:20-C
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-4380
Practice Address - Country:US
Practice Address - Phone:720-443-0601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-25
Last Update Date:2015-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT-0001027225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty