Provider Demographics
NPI:1801328968
Name:RELIEF LICENSED MASSAGE AND BODYWORK THERAPY, LLC
Entity type:Organization
Organization Name:RELIEF LICENSED MASSAGE AND BODYWORK THERAPY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CNMT, LMBT, BCTMB
Authorized Official - Phone:828-333-0089
Mailing Address - Street 1:PO BOX 2005
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:NC
Mailing Address - Zip Code:28730-2005
Mailing Address - Country:US
Mailing Address - Phone:828-333-0089
Mailing Address - Fax:
Practice Address - Street 1:2263 US 70 HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:SWANNANOA
Practice Address - State:NC
Practice Address - Zip Code:28778-9304
Practice Address - Country:US
Practice Address - Phone:828-333-0089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14801225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty