Provider Demographics
NPI:1780102004
Name:TWO HANDS THERAPEUTIC MASSAGE
Entity type:Organization
Organization Name:TWO HANDS THERAPEUTIC MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:FORADORA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:814-371-0273
Mailing Address - Street 1:200 NARROWS CREEK PARK RD
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-6346
Mailing Address - Country:US
Mailing Address - Phone:814-371-0273
Mailing Address - Fax:
Practice Address - Street 1:200 NARROWS CREEK PARK RD
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-6346
Practice Address - Country:US
Practice Address - Phone:814-371-0273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty