Provider Demographics
NPI:1053143826
Name:PURRFECT MASSAGE, LLC
Entity type:Organization
Organization Name:PURRFECT MASSAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:CANDI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HAMMER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:727-692-2023
Mailing Address - Street 1:1341 RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1834
Mailing Address - Country:US
Mailing Address - Phone:727-692-2023
Mailing Address - Fax:
Practice Address - Street 1:35 S 8TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-5441
Practice Address - Country:US
Practice Address - Phone:727-692-2023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty