Provider Demographics
NPI:1649409095
Name:PAIN RELIEF RESTORATIVE MASSAGE PLLC
Entity Type:Organization
Organization Name:PAIN RELIEF RESTORATIVE MASSAGE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:407-331-9726
Mailing Address - Street 1:PO BOX 150565
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32715-0565
Mailing Address - Country:US
Mailing Address - Phone:407-331-9726
Mailing Address - Fax:
Practice Address - Street 1:393 CENTER POINTE CIR
Practice Address - Street 2:SUITE 1459
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-3453
Practice Address - Country:US
Practice Address - Phone:407-331-9726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM23001225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty