Provider Demographics
NPI:1558907154
Name:HOLDEN HANDS MASSAGE, LLC
Entity Type:Organization
Organization Name:HOLDEN HANDS MASSAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:MAYE
Authorized Official - Last Name:NICHOLS-HOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, CMMT
Authorized Official - Phone:860-333-8801
Mailing Address - Street 1:10 CROFT CT
Mailing Address - Street 2:
Mailing Address - City:PAWCATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06379-1233
Mailing Address - Country:US
Mailing Address - Phone:860-333-8801
Mailing Address - Fax:
Practice Address - Street 1:10 CROFT CT
Practice Address - Street 2:
Practice Address - City:PAWCATUCK
Practice Address - State:CT
Practice Address - Zip Code:06379-1233
Practice Address - Country:US
Practice Address - Phone:860-333-8801
Practice Address - Fax:866-674-2685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty