Provider Demographics
NPI:1356107973
Name:NATURAL HEALING MASSAGE, LLC
Entity type:Organization
Organization Name:NATURAL HEALING MASSAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANILLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:304-437-0690
Mailing Address - Street 1:3761 TEAYS VALLEY RD STE C
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-9097
Mailing Address - Country:US
Mailing Address - Phone:304-437-0690
Mailing Address - Fax:
Practice Address - Street 1:3761 TEAYS VALLEY RD STE C
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-9097
Practice Address - Country:US
Practice Address - Phone:304-437-0690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty