Provider Demographics
NPI:1518564277
Name:HEALING HANDS THERAPY
Entity Type:Organization
Organization Name:HEALING HANDS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:YAVOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:516-810-0678
Mailing Address - Street 1:6 OLD TOWN LN
Mailing Address - Street 2:
Mailing Address - City:HALESITE
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2213
Mailing Address - Country:US
Mailing Address - Phone:516-810-0678
Mailing Address - Fax:
Practice Address - Street 1:6 OLD TOWN LN
Practice Address - Street 2:
Practice Address - City:HALESITE
Practice Address - State:NY
Practice Address - Zip Code:11743-2213
Practice Address - Country:US
Practice Address - Phone:516-810-0678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty