Organization Name: | SIMPLY DEVINE MASSAGE THERAPY, LLC |
NPI Number: | 1366778615 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIN DEVINE PARKER (PRESIDENT/OWNER) |
Mailing Address: | 5009 Excelsior Blvd Suite 152 St Louis Park |
State: | MN US |
Postal Code: | 554163041 |
Phone Number: | 6125998768 |
Fax Number: | 7635358511 |
NPI Enumeration Date: | 10/21/2009 |
NPI Last Update Date: | 10/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |