Provider Demographics
NPI:1508573023
Name:MASSAGE FOR THE SOUL LLC
Entity Type:Organization
Organization Name:MASSAGE FOR THE SOUL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND LEAD THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:860-466-0258
Mailing Address - Street 1:952 RIDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-8710
Mailing Address - Country:US
Mailing Address - Phone:860-466-0258
Mailing Address - Fax:
Practice Address - Street 1:954 NEWFIELD ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-1883
Practice Address - Country:US
Practice Address - Phone:860-466-0258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty