Provider Demographics
NPI:1891323481
Name:MEDICAL MASSAGE ASSOCIATES LLC
Entity Type:Organization
Organization Name:MEDICAL MASSAGE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICKLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:937-701-7717
Mailing Address - Street 1:PO BOX 13503
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45413-0503
Mailing Address - Country:US
Mailing Address - Phone:937-701-7717
Mailing Address - Fax:
Practice Address - Street 1:7 SOUTHMOOR CIRCLE NW
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45429-2417
Practice Address - Country:US
Practice Address - Phone:937-701-7717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty