Provider Demographics
NPI:1558134676
Name:UNIQUE KNEADS MASSAGE BY ANA
Entity Type:Organization
Organization Name:UNIQUE KNEADS MASSAGE BY ANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-319-3308
Mailing Address - Street 1:3105 N YARBROUGH DR STE 109
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3164
Mailing Address - Country:US
Mailing Address - Phone:915-319-3308
Mailing Address - Fax:
Practice Address - Street 1:3105 N YARBROUGH DR STE 109
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-3164
Practice Address - Country:US
Practice Address - Phone:915-319-3308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty