Provider Demographics
NPI:1821895830
Name:PAIN'S RELIEF MASSAGE THERAPY LLC
Entity type:Organization
Organization Name:PAIN'S RELIEF MASSAGE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST/ OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:R
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:BCTMB
Authorized Official - Phone:636-579-9727
Mailing Address - Street 1:15421 CLAYTON RD STE G3
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-3161
Mailing Address - Country:US
Mailing Address - Phone:636-579-9727
Mailing Address - Fax:
Practice Address - Street 1:15421 CLAYTON RD STE G3
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-3161
Practice Address - Country:US
Practice Address - Phone:636-579-9727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty