Organization Name: | WINGS MOBILE MASSAGE & BODYWORK |
NPI Number: | 1285966341 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONYA L BROOKS-TAYLOR (OWNER) |
Mailing Address: | 1191 N Main St Suite 208 Randolph |
State: | MA US |
Postal Code: | 023682135 |
Phone Number: | 5083326522 |
Fax Number: | 3399874847 |
NPI Enumeration Date: | 01/31/2010 |
NPI Last Update Date: | 01/31/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 6947 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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. |