Provider Demographics
NPI:1851622674
Name:A THERAPEUTIC TOUCH LLC
Entity Type:Organization
Organization Name:A THERAPEUTIC TOUCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:S
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-443-5079
Mailing Address - Street 1:2529 W BUSCH BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-4545
Mailing Address - Country:US
Mailing Address - Phone:813-443-5079
Mailing Address - Fax:813-443-5122
Practice Address - Street 1:2529 W BUSCH BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4545
Practice Address - Country:US
Practice Address - Phone:813-443-5079
Practice Address - Fax:813-443-5122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-18
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7838261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service