Provider Demographics
NPI:1235641721
Name:TRANQUIL KNEADS, LLC
Entity Type:Organization
Organization Name:TRANQUIL KNEADS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LINDENAU
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:754-229-9235
Mailing Address - Street 1:5041 NE 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33334-5753
Mailing Address - Country:US
Mailing Address - Phone:561-843-6489
Mailing Address - Fax:
Practice Address - Street 1:4861 N DIXIE HWY STE 204
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-3953
Practice Address - Country:US
Practice Address - Phone:754-229-9235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-25
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty