Provider Demographics
NPI:1447933445
Name:MARIPOSA MASSAGE & HEALING CENTER LLC
Entity type:Organization
Organization Name:MARIPOSA MASSAGE & HEALING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:406-465-9679
Mailing Address - Street 1:1221 ECHELON PL STE D
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-7695
Mailing Address - Country:US
Mailing Address - Phone:406-465-9679
Mailing Address - Fax:
Practice Address - Street 1:1221 ECHELON PL STE D
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-7695
Practice Address - Country:US
Practice Address - Phone:406-465-9679
Practice Address - Fax:406-204-0025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty