Provider Demographics
NPI:1669200325
Name:TRANSCENDENCE MASSAGE THERAPY LLC
Entity type:Organization
Organization Name:TRANSCENDENCE MASSAGE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:FARR
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:505-249-6305
Mailing Address - Street 1:2024 MADEIRA DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-5140
Mailing Address - Country:US
Mailing Address - Phone:505-249-6305
Mailing Address - Fax:
Practice Address - Street 1:921 VALENCIA DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-1753
Practice Address - Country:US
Practice Address - Phone:505-615-4884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty