Provider Demographics
NPI:1669002960
Name:EXHALE INCORPORATED
Entity Type:Organization
Organization Name:EXHALE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/LICENSED MASSAGE THERAPIS
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:901-754-1153
Mailing Address - Street 1:4294 HUGHES MEADOW CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-3152
Mailing Address - Country:US
Mailing Address - Phone:901-754-1153
Mailing Address - Fax:
Practice Address - Street 1:4294 HUGHES MEADOW CV
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-3152
Practice Address - Country:US
Practice Address - Phone:901-754-1153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-25
Last Update Date:2020-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty