Provider Demographics
NPI:1487199436
Name:ORGANIC RELIEF MASSAGE SERVICES
Entity Type:Organization
Organization Name:ORGANIC RELIEF MASSAGE SERVICES
Other - Org Name:ORMS
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:NEISWONGER
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:213-797-5511
Mailing Address - Street 1:2885 SANFORD AVE SW
Mailing Address - Street 2:PMB 23774
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-1342
Mailing Address - Country:US
Mailing Address - Phone:213-797-5511
Mailing Address - Fax:213-634-1177
Practice Address - Street 1:2885 SANFORD AVE SW
Practice Address - Street 2:PMB 23774
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-1342
Practice Address - Country:US
Practice Address - Phone:213-797-5511
Practice Address - Fax:213-634-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty