Organization Name: | AESCULAP THERAPEUTIC & SPORTS MASSAGE, LLC |
NPI Number: | 1053692376 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | URSULA SCHMIDT-JORDAN (THERAPEUTIC MASSAGE PRACTITIONER) |
Mailing Address: | 1901 N Olden Avenue Ext Suite 4 Ewing |
State: | NJ US |
Postal Code: | 086182111 |
Phone Number: | 6097710476 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2011 |
NPI Last Update Date: | 02/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 18KT00416500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |