Provider Demographics
NPI:1336960798
Name:HAND TO SOUL LLC
Entity type:Organization
Organization Name:HAND TO SOUL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NELLIE
Authorized Official - Middle Name:AIYANA
Authorized Official - Last Name:FRALEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:727-657-9064
Mailing Address - Street 1:7210 120TH AVE
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33773-3213
Mailing Address - Country:US
Mailing Address - Phone:727-657-9064
Mailing Address - Fax:
Practice Address - Street 1:4554 CENTRAL AVE STE C1
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-1047
Practice Address - Country:US
Practice Address - Phone:727-469-3191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty