Provider Demographics
NPI:1508188939
Name:DAWN TO DUSK THERAPEUTIC MASSAGE, INC.
Entity Type:Organization
Organization Name:DAWN TO DUSK THERAPEUTIC MASSAGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MAYCHSZAK
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, MMP, NCTM
Authorized Official - Phone:847-909-1241
Mailing Address - Street 1:508 MILLER DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-7256
Mailing Address - Country:US
Mailing Address - Phone:847-909-1241
Mailing Address - Fax:847-622-0429
Practice Address - Street 1:508 MILLER DR
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-7256
Practice Address - Country:US
Practice Address - Phone:847-909-1241
Practice Address - Fax:847-622-0429
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 Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty