Provider Demographics
NPI:1609685759
Name:POLAR OPPOSITES INTEGRATIVE THERAPIES LLC
Entity type:Organization
Organization Name:POLAR OPPOSITES INTEGRATIVE THERAPIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SNEAD
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:585-284-8901
Mailing Address - Street 1:3896 DEWEY AVE # 157
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616-2527
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1671 PENFIELD RD STE 6
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2568
Practice Address - Country:US
Practice Address - Phone:585-203-1948
Practice Address - Fax:585-486-7819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty