Provider Demographics
NPI:1326318957
Name:MASSAGE & WELLNESS
Entity Type:Organization
Organization Name:MASSAGE & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GLANZ
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER, MT
Authorized Official - Phone:517-203-1113
Mailing Address - Street 1:201 E GRAND RIVER AVE
Mailing Address - Street 2:SUITE 19
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-4323
Mailing Address - Country:US
Mailing Address - Phone:517-203-1113
Mailing Address - Fax:808-748-3003
Practice Address - Street 1:201 E GRAND RIVER AVE
Practice Address - Street 2:SUITE 19
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-4323
Practice Address - Country:US
Practice Address - Phone:517-203-1113
Practice Address - Fax:808-748-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Single Specialty