Organization Name: | KNEAD A MASSAGE, LLC |
NPI Number: | 1164765780 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAROLYN MERRITT (MASSAGE THERAPIST) |
Mailing Address: | 450 Shepard Dr Suite #7 Elgin |
State: | IL US |
Postal Code: | 601237033 |
Phone Number: | 6306970959 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2013 |
NPI Last Update Date: | 04/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 227013528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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. |