Provider Demographics
NPI:1619377082
Name:REHABEXPERTS MASSAGE THERAPY
Entity Type:Organization
Organization Name:REHABEXPERTS MASSAGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURGO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:401-569-8080
Mailing Address - Street 1:1187 PUTNAM PIKE
Mailing Address - Street 2:PO BOX 1089
Mailing Address - City:CHEPACHET
Mailing Address - State:RI
Mailing Address - Zip Code:02814-1962
Mailing Address - Country:US
Mailing Address - Phone:401-569-8080
Mailing Address - Fax:
Practice Address - Street 1:1187 PUTNAM PIKE
Practice Address - Street 2:
Practice Address - City:CHEPACHET
Practice Address - State:RI
Practice Address - Zip Code:02814-1962
Practice Address - Country:US
Practice Address - Phone:401-569-8080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation