Organization Name: | AWARENESS MASSAGE AND WELLNESS CENTER, LLC |
NPI Number: | 1396004016 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER MARGARET REIDER (OWNER) |
Mailing Address: | 9853 Johnnycake Ridge Rd Mentor |
State: | OH US |
Postal Code: | 440606700 |
Phone Number: | 4402313824 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2012 |
NPI Last Update Date: | 05/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 018631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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. |