Provider Demographics
NPI:1881008068
Name:NET POSITIVE CORP
Entity Type:Organization
Organization Name:NET POSITIVE CORP
Other - Org Name:ELEMENTS MASSAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-275-3510
Mailing Address - Street 1:1718 TRADEWINDS LN
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-4312
Mailing Address - Country:US
Mailing Address - Phone:949-275-3510
Mailing Address - Fax:
Practice Address - Street 1:16525 VON KARMAN AVE
Practice Address - Street 2:SUITE E
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-4943
Practice Address - Country:US
Practice Address - Phone:949-275-3510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty