Provider Demographics
NPI:1245604263
Name:WARM HANDS MASSAGE
Entity type:Organization
Organization Name:WARM HANDS MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LMT
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:DEGENER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:518-745-9937
Mailing Address - Street 1:1107 N CREEK RD TRLR 60
Mailing Address - Street 2:
Mailing Address - City:PORTER CORNERS
Mailing Address - State:NY
Mailing Address - Zip Code:12859-1951
Mailing Address - Country:US
Mailing Address - Phone:518-745-9937
Mailing Address - Fax:
Practice Address - Street 1:88 RIDGE ST STE 109
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-3621
Practice Address - Country:US
Practice Address - Phone:518-745-9937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029028-1171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty