Provider Demographics
NPI:1609152412
Name:EMJOY MASSAGE THERAPY LLC
Entity Type:Organization
Organization Name:EMJOY MASSAGE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:KINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:513-238-1165
Mailing Address - Street 1:100 CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-5708
Mailing Address - Country:US
Mailing Address - Phone:513-238-1165
Mailing Address - Fax:
Practice Address - Street 1:100 CEMETERY RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-5708
Practice Address - Country:US
Practice Address - Phone:513-238-1165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.019509225700000X
OH33.019531225700000X
OH33.019512225700000X
OH33.019962225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty