Provider Demographics
NPI:1356118186
Name:HEALING HANDS MASSAGE LLC
Entity type:Organization
Organization Name:HEALING HANDS MASSAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DULLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:907-435-4166
Mailing Address - Street 1:3585 E END RD UNIT 15
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:AK
Mailing Address - Zip Code:99603-9426
Mailing Address - Country:US
Mailing Address - Phone:907-299-8090
Mailing Address - Fax:
Practice Address - Street 1:3585 E END RD STE A
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:AK
Practice Address - Zip Code:99603-9426
Practice Address - Country:US
Practice Address - Phone:907-299-8090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty