Provider Demographics
NPI:1801488135
Name:HANDS ON MEDICAL MASSAGE
Entity type:Organization
Organization Name:HANDS ON MEDICAL MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR: MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ETHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARISEAU
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:740-418-3315
Mailing Address - Street 1:22 CARROLL AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:OH
Mailing Address - Zip Code:45640-1105
Mailing Address - Country:US
Mailing Address - Phone:740-418-3315
Mailing Address - Fax:
Practice Address - Street 1:22 CARROLL AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:OH
Practice Address - Zip Code:45640-1105
Practice Address - Country:US
Practice Address - Phone:740-418-3315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No172M00000XOther Service ProvidersMechanotherapistGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty