Provider Demographics
NPI:1861838013
Name:HANDS OF CHOICE MASSAGE & WELLNESS, LLC
Entity Type:Organization
Organization Name:HANDS OF CHOICE MASSAGE & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:HARRISON
Authorized Official - Last Name:WAKEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:937-620-4286
Mailing Address - Street 1:10225 MARCHANT LN
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-4503
Mailing Address - Country:US
Mailing Address - Phone:937-620-4286
Mailing Address - Fax:888-288-5022
Practice Address - Street 1:665 W LBJ FWY
Practice Address - Street 2:SUITE 207
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3712
Practice Address - Country:US
Practice Address - Phone:214-380-9700
Practice Address - Fax:888-288-5022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT110561225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty