Provider Demographics
NPI:1225649791
Name:OASIS MASSAGE AND BODYWORK, INC.
Entity Type:Organization
Organization Name:OASIS MASSAGE AND BODYWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HUDGINS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LMT
Authorized Official - Phone:224-272-5411
Mailing Address - Street 1:PO BOX 357
Mailing Address - Street 2:
Mailing Address - City:HOPE HULL
Mailing Address - State:AL
Mailing Address - Zip Code:36043-0357
Mailing Address - Country:US
Mailing Address - Phone:334-272-5411
Mailing Address - Fax:
Practice Address - Street 1:5287 VAUGHN RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-1104
Practice Address - Country:US
Practice Address - Phone:334-272-5411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty