Provider Demographics
NPI:1477338929
Name:A TOUCH OF RELIEF, LLC
Entity Type:Organization
Organization Name:A TOUCH OF RELIEF, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHERBAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-383-5885
Mailing Address - Street 1:1339 VIOLET ST
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32233-2635
Mailing Address - Country:US
Mailing Address - Phone:904-383-5885
Mailing Address - Fax:
Practice Address - Street 1:983 ATLANTIC BLVD # 114
Practice Address - Street 2:
Practice Address - City:ATLANTIC BEACH
Practice Address - State:FL
Practice Address - Zip Code:32233-3311
Practice Address - Country:US
Practice Address - Phone:904-383-5885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty