Provider Demographics
NPI:1891151593
Name:YOUR HEALING HANDS MASSAGE THERAPY, LLC
Entity Type:Organization
Organization Name:YOUR HEALING HANDS MASSAGE THERAPY, LLC
Other - Org Name:AMAZING MASSAGE FACIAL SPA, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEDICAL MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LATANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-453-7518
Mailing Address - Street 1:200 W 2ND ST UNIT 608
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48068-7027
Mailing Address - Country:US
Mailing Address - Phone:248-242-3009
Mailing Address - Fax:248-955-3147
Practice Address - Street 1:51360 SCHOENHERR RD STE 10
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48315-2725
Practice Address - Country:US
Practice Address - Phone:248-453-7518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-11
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty