Provider Demographics
NPI:1871133678
Name:GLOWING HEART BODYWORK
Entity type:Organization
Organization Name:GLOWING HEART BODYWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MASSAGE THERAPIS
Authorized Official - Prefix:
Authorized Official - First Name:TERRANCE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SWEET
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LMT
Authorized Official - Phone:724-888-3138
Mailing Address - Street 1:2916 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-3614
Mailing Address - Country:US
Mailing Address - Phone:724-888-3138
Mailing Address - Fax:
Practice Address - Street 1:455 3RD ST FL 2
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2266
Practice Address - Country:US
Practice Address - Phone:724-774-8729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty