Provider Demographics
NPI:1427545391
Name:MED MASSAGE PLUS
Entity Type:Organization
Organization Name:MED MASSAGE PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JODIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STROTRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:412-897-3333
Mailing Address - Street 1:238 SHELBY DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4974
Mailing Address - Country:US
Mailing Address - Phone:412-897-3333
Mailing Address - Fax:
Practice Address - Street 1:STATE ROUTE 837
Practice Address - Street 2:
Practice Address - City:WEST ELIZABETH
Practice Address - State:PA
Practice Address - Zip Code:15088
Practice Address - Country:US
Practice Address - Phone:412-897-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG001855225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty