Provider Demographics
NPI:1871877001
Name:SPECIALTOUCH MASSAGES,LLC
Entity type:Organization
Organization Name:SPECIALTOUCH MASSAGES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CECELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REX
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:1888-909-0316
Mailing Address - Street 1:3120 MEMPHIS ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-4426
Mailing Address - Country:US
Mailing Address - Phone:888-909-0316
Mailing Address - Fax:
Practice Address - Street 1:42 S 15TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-2218
Practice Address - Country:US
Practice Address - Phone:888-909-0316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARR00323225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1132052OtherAMERICAN SPECIALTY HEALTH