Provider Demographics
NPI:1407479421
Name:RIPPLE EFFECT MASSAGE LLC
Entity Type:Organization
Organization Name:RIPPLE EFFECT MASSAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCRUTON
Authorized Official - Suffix:
Authorized Official - Credentials:MASSAGE THERAPIST
Authorized Official - Phone:804-921-7279
Mailing Address - Street 1:3740 W HUNDRED RD STE 4
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1928
Mailing Address - Country:US
Mailing Address - Phone:804-921-7279
Mailing Address - Fax:
Practice Address - Street 1:3740 W HUNDRED RD STE 4
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1928
Practice Address - Country:US
Practice Address - Phone:804-921-7279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty