Provider Demographics
NPI:1528218021
Name:EXPRESSOOO MASSAGEWORX, LLC
Entity Type:Organization
Organization Name:EXPRESSOOO MASSAGEWORX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASH
Authorized Official - Suffix:
Authorized Official - Credentials:LMBT
Authorized Official - Phone:336-908-4923
Mailing Address - Street 1:PO BOX 78047
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27427-8047
Mailing Address - Country:US
Mailing Address - Phone:336-908-4923
Mailing Address - Fax:
Practice Address - Street 1:1400 MILLGATE DR
Practice Address - Street 2:SUITE A
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1338
Practice Address - Country:US
Practice Address - Phone:336-908-4923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty