Provider Demographics
NPI:1427415504
Name:TARRHEA'S TRANQUIL TOUCH,LLC
Entity Type:Organization
Organization Name:TARRHEA'S TRANQUIL TOUCH,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TARRHEA
Authorized Official - Middle Name:MONEE
Authorized Official - Last Name:HOLLINGSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:954-805-4800
Mailing Address - Street 1:3479 NW 23RD ST
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33311-2602
Mailing Address - Country:US
Mailing Address - Phone:954-805-4800
Mailing Address - Fax:
Practice Address - Street 1:3479 NW 23RD ST
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33311-2602
Practice Address - Country:US
Practice Address - Phone:954-805-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA43585305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization