Provider Demographics
NPI:1457735417
Name:HELPING HANDS MASSAGE THERAPY, LLC
Entity Type:Organization
Organization Name:HELPING HANDS MASSAGE THERAPY, LLC
Other - Org Name:ELEMENTS MASSAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DARRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUCCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-414-3397
Mailing Address - Street 1:PO BOX 102
Mailing Address - Street 2:
Mailing Address - City:SOUTH LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45065-0102
Mailing Address - Country:US
Mailing Address - Phone:937-414-3397
Mailing Address - Fax:
Practice Address - Street 1:3195 DAYTON XENIA RD
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45434-6390
Practice Address - Country:US
Practice Address - Phone:937-401-8501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-18
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty