Provider Demographics
NPI:1851727804
Name:MASSAGE THERAPY WORKS INC
Entity Type:Organization
Organization Name:MASSAGE THERAPY WORKS INC
Other - Org Name:MASSAGE THERAPY WORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT,EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:617-684-4000
Mailing Address - Street 1:255 ELM ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-2956
Mailing Address - Country:US
Mailing Address - Phone:617-684-4000
Mailing Address - Fax:617-628-0606
Practice Address - Street 1:255 ELM ST
Practice Address - Street 2:SUITE 302
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2956
Practice Address - Country:US
Practice Address - Phone:617-684-4000
Practice Address - Fax:617-628-0606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMT 3636-MT174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty