Provider Demographics
NPI:1811398381
Name:PALPATING PALMS MASSAGE CENTER LLC
Entity Type:Organization
Organization Name:PALPATING PALMS MASSAGE CENTER LLC
Other - Org Name:MALAMA MASSAGE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LMT & OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, CPT
Authorized Official - Phone:859-317-8295
Mailing Address - Street 1:1500 LEESTOWN RD
Mailing Address - Street 2:SUITE 338 BAKHAUS BLDG
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-2044
Mailing Address - Country:US
Mailing Address - Phone:859-317-8295
Mailing Address - Fax:
Practice Address - Street 1:1500 LEESTOWN RD
Practice Address - Street 2:SUITE 338 BAKHAUS BLDG
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-2044
Practice Address - Country:US
Practice Address - Phone:859-317-8295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY1909261Q00000X
KYKY4162261Q00000X
KYKY2480261Q00000X
KYKY3588261Q00000X
KYKY5012261Q00000X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center