Organization Name: | WAY OF LIFE LLC |
NPI Number: | 1346604782 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSHUA ROTH (OWNER) |
Mailing Address: | 216 E Chicago Blvd Tecumseh |
State: | MI US |
Postal Code: | 492861549 |
Phone Number: | 5179029657 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2016 |
NPI Last Update Date: | 04/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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. |