Provider Demographics
NPI:1841640620
Name:HEALING ART THERAPY LLC
Entity type:Organization
Organization Name:HEALING ART THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHEVERRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-298-4850
Mailing Address - Street 1:8260 NW 27TH ST
Mailing Address - Street 2:409
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1903
Mailing Address - Country:US
Mailing Address - Phone:305-298-4850
Mailing Address - Fax:
Practice Address - Street 1:8811 SW 132ND PL
Practice Address - Street 2:309
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1792
Practice Address - Country:US
Practice Address - Phone:305-298-4850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty