Provider Demographics
NPI:1932349099
Name:CLINICAL MASSAGE AND BODYWORK
Entity Type:Organization
Organization Name:CLINICAL MASSAGE AND BODYWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LINDEN
Authorized Official - Last Name:CASH
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:727-657-7777
Mailing Address - Street 1:2723 BELLE HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-1002
Mailing Address - Country:US
Mailing Address - Phone:727-657-7777
Mailing Address - Fax:
Practice Address - Street 1:2723 BELLE HAVEN DR
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-1002
Practice Address - Country:US
Practice Address - Phone:727-657-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL48668225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty