Provider Demographics
NPI:1447374970
Name:ALTERNATIVE TO MEDICINE INC
Entity type:Organization
Organization Name:ALTERNATIVE TO MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMT PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:MASSAGE THERAPIST
Authorized Official - Phone:609-392-7811
Mailing Address - Street 1:11 STACEY AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-3420
Mailing Address - Country:US
Mailing Address - Phone:609-392-7811
Mailing Address - Fax:609-396-2995
Practice Address - Street 1:11 STACEY AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08618-3420
Practice Address - Country:US
Practice Address - Phone:609-392-7811
Practice Address - Fax:609-396-2995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP01213900225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty