Provider Demographics
NPI:1760842074
Name:THE HEALING STUDIO, INC.
Entity Type:Organization
Organization Name:THE HEALING STUDIO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISSY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:786-423-0136
Mailing Address - Street 1:PO BOX 134
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92564-0134
Mailing Address - Country:US
Mailing Address - Phone:951-723-0330
Mailing Address - Fax:
Practice Address - Street 1:24977 WASHINGTON AVE
Practice Address - Street 2:SUITE I
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9832
Practice Address - Country:US
Practice Address - Phone:951-723-0330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-29
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT38175261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy