Provider Demographics
NPI:1194210591
Name:MASSAGE BLISS LLC
Entity Type:Organization
Organization Name:MASSAGE BLISS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:RAND
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:603-321-2480
Mailing Address - Street 1:505 W.HOLLIS STREET
Mailing Address - Street 2:THE VILLAGE/UNIT 206A
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062
Mailing Address - Country:US
Mailing Address - Phone:603-321-2480
Mailing Address - Fax:
Practice Address - Street 1:505 W HOLLIS ST STE 206A
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1389
Practice Address - Country:US
Practice Address - Phone:603-321-2480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3230225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty