Provider Demographics
NPI:1437471703
Name:HANDS OF HEALING MASSAGE & SPA STUDIO
Entity Type:Organization
Organization Name:HANDS OF HEALING MASSAGE & SPA STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TIFFANIE
Authorized Official - Middle Name:ETTICE
Authorized Official - Last Name:DRUMER
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:510-533-8487
Mailing Address - Street 1:1122 B ST STE 215
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-4240
Mailing Address - Country:US
Mailing Address - Phone:510-533-8487
Mailing Address - Fax:510-582-4807
Practice Address - Street 1:1122 B ST STE 215
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-4240
Practice Address - Country:US
Practice Address - Phone:510-533-8487
Practice Address - Fax:510-582-4807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2348136305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service