Provider Demographics
NPI:1932545308
Name:A HEALING TOUCH MEDICAL MASSAGE
Entity Type:Organization
Organization Name:A HEALING TOUCH MEDICAL MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:859-240-7647
Mailing Address - Street 1:4444 DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-1896
Mailing Address - Country:US
Mailing Address - Phone:859-342-7700
Mailing Address - Fax:
Practice Address - Street 1:4444 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-1896
Practice Address - Country:US
Practice Address - Phone:859-342-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1097225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1097OtherPIP PERSONAL INJURY PROTESTION
KY4596OtherPIP PERSONAL INJURY PROTECTION
KY540261-07OtherMM MAJOR MEDICAL
KY1097Medicaid