Provider Demographics
NPI:1871027961
Name:POSITIVE TOUCH THERAPY LLC
Entity Type:Organization
Organization Name:POSITIVE TOUCH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-395-0367
Mailing Address - Street 1:1228 N ASTOR ST
Mailing Address - Street 2:2ND LEVEL
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-2820
Mailing Address - Country:US
Mailing Address - Phone:414-975-1003
Mailing Address - Fax:
Practice Address - Street 1:1228 N ASTOR ST
Practice Address - Street 2:2ND LEVEL
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-2820
Practice Address - Country:US
Practice Address - Phone:414-975-1003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11135-146251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable