Provider Demographics
NPI:1952166217
Name:ZEN RELM THERAPEUTIC BODYWORK MASSAGE CLINIC, LLC
Entity Type:Organization
Organization Name:ZEN RELM THERAPEUTIC BODYWORK MASSAGE CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIGNA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:484-767-7320
Mailing Address - Street 1:802 N 18TH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-4122
Mailing Address - Country:US
Mailing Address - Phone:484-767-7320
Mailing Address - Fax:
Practice Address - Street 1:3005 BRODHEAD RD STE 27-28
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-9201
Practice Address - Country:US
Practice Address - Phone:484-272-5384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty