Provider Demographics
NPI:1588812747
Name:MASSAGES AROUND THE WORLD INC.
Entity Type:Organization
Organization Name:MASSAGES AROUND THE WORLD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:239-898-9428
Mailing Address - Street 1:19 DEL PRADO BLVD N
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-6307
Mailing Address - Country:US
Mailing Address - Phone:239-242-8004
Mailing Address - Fax:239-242-8003
Practice Address - Street 1:19 DEL PRADO BLVD N
Practice Address - Street 2:SUITE 101
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-6307
Practice Address - Country:US
Practice Address - Phone:239-242-8004
Practice Address - Fax:239-242-8003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA47163225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty