Provider Demographics
NPI:1871394270
Name:HEAVEN ON EARTH HOLISTIC HEALTH & THERAPEUTIC MASSAGE LLC
Entity type:Organization
Organization Name:HEAVEN ON EARTH HOLISTIC HEALTH & THERAPEUTIC MASSAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-794-3701
Mailing Address - Street 1:90 COLLIMORE RD
Mailing Address - Street 2:
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108-1008
Mailing Address - Country:US
Mailing Address - Phone:860-794-3701
Mailing Address - Fax:
Practice Address - Street 1:330 ROBERTS ST
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-3652
Practice Address - Country:US
Practice Address - Phone:860-794-3701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty