Provider Demographics
NPI:1285865972
Name:TMG INCORPORATED
Entity Type:Organization
Organization Name:TMG INCORPORATED
Other - Org Name:THERAPEUTIC APPROACH MASSAGE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:M
Authorized Official - Last Name:GILREATH
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:509-892-5996
Mailing Address - Street 1:730 N HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-2045
Mailing Address - Country:US
Mailing Address - Phone:509-892-5996
Mailing Address - Fax:509-458-6611
Practice Address - Street 1:730 N HAMILTON ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-2045
Practice Address - Country:US
Practice Address - Phone:509-892-5996
Practice Address - Fax:509-458-6611
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TMG INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00015951225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty