Provider Demographics
NPI:1699821033
Name:ESSENTIAL HEALTH MASSAGE & WELLNESS CENTER, INC.
Entity Type:Organization
Organization Name:ESSENTIAL HEALTH MASSAGE & WELLNESS CENTER, INC.
Other - Org Name:ESSCENTIALLY PAINLESS MASSAGE THERAPY, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEXTER
Authorized Official - Middle Name:A
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:360-650-1777
Mailing Address - Street 1:904 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5223
Mailing Address - Country:US
Mailing Address - Phone:360-650-1777
Mailing Address - Fax:360-650-1018
Practice Address - Street 1:904 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5223
Practice Address - Country:US
Practice Address - Phone:360-650-1777
Practice Address - Fax:360-650-1018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty