Provider Demographics
NPI:1437633617
Name:BETTY DAVEY DBA SENSATIONS MASSAGE AND BODY CLINIC
Entity Type:Organization
Organization Name:BETTY DAVEY DBA SENSATIONS MASSAGE AND BODY CLINIC
Other - Org Name:SENSATIONS MASSAGE AND BODY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MASSAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:DAVEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:256-822-2215
Mailing Address - Street 1:2119 WESTMEAD DR SW STE 8
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-1088
Mailing Address - Country:US
Mailing Address - Phone:256-822-2215
Mailing Address - Fax:
Practice Address - Street 1:2119 WESTMEAD DR SW STE 8
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-1088
Practice Address - Country:US
Practice Address - Phone:256-822-2215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1740788298OtherMASSAGE THERAPIST