Provider Demographics
NPI:1558870733
Name:BLESSING HANDS MASSAGE THERAPY
Entity Type:Organization
Organization Name:BLESSING HANDS MASSAGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:419-231-3665
Mailing Address - Street 1:910 W SPRING ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-3231
Mailing Address - Country:US
Mailing Address - Phone:419-231-3665
Mailing Address - Fax:
Practice Address - Street 1:1976 N EASTOWN RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45807-2018
Practice Address - Country:US
Practice Address - Phone:567-204-7414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.019051225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty