Provider Demographics
NPI:1851918577
Name:TRU MASSAGE THERAPY LLC
Entity Type:Organization
Organization Name:TRU MASSAGE THERAPY LLC
Other - Org Name:TRU MASSAGE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:RENAE
Authorized Official - Last Name:SCHWANTES
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:605-941-2747
Mailing Address - Street 1:7640 S LOUISE AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5999
Mailing Address - Country:US
Mailing Address - Phone:605-941-2747
Mailing Address - Fax:
Practice Address - Street 1:7640 S LOUISE AVE STE 110
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5999
Practice Address - Country:US
Practice Address - Phone:605-941-2747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-29
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service