Provider Demographics
NPI:1922802529
Name:SKIN TO SOUL LLC
Entity type:Organization
Organization Name:SKIN TO SOUL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:833-888-0136
Mailing Address - Street 1:800 W CUMMINGS PARK STE 3950
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6550
Mailing Address - Country:US
Mailing Address - Phone:833-888-0136
Mailing Address - Fax:
Practice Address - Street 1:800 W CUMMINGS PARK STE 3950
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6550
Practice Address - Country:US
Practice Address - Phone:833-888-0136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty