Provider Demographics
NPI:1558794297
Name:ROYAL TREATMENT, LLC
Entity Type:Organization
Organization Name:ROYAL TREATMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:III
Authorized Official - Credentials:LMT, NCTMB
Authorized Official - Phone:202-412-7444
Mailing Address - Street 1:203 N ST SW
Mailing Address - Street 2:APT 420
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-3525
Mailing Address - Country:US
Mailing Address - Phone:202-412-7444
Mailing Address - Fax:
Practice Address - Street 1:203 N ST SW
Practice Address - Street 2:APT 420
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-3525
Practice Address - Country:US
Practice Address - Phone:202-412-7444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMT1511251K00000X
VA0019010788251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare