Provider Demographics
NPI:1497570030
Name:OUT OF THE WOODS HEALING
Entity type:Organization
Organization Name:OUT OF THE WOODS HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:740-977-8329
Mailing Address - Street 1:976 BEATTY RD
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-9324
Mailing Address - Country:US
Mailing Address - Phone:740-977-8329
Mailing Address - Fax:
Practice Address - Street 1:118 E 2ND ST # 7
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-1361
Practice Address - Country:US
Practice Address - Phone:740-977-8329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OUT OF THE WOODS HEALING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty