Organization Name: | BODY ESSENTIAL PHYSICAL THERAPY AND MASSAGE, LLC |
NPI Number: | 1396130894 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER ANN HAWKS (OWNER AND STAFF) |
Mailing Address: | 2930 W Harvard Ave Roseburg |
State: | OR US |
Postal Code: | 974712610 |
Phone Number: | 5416721466 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2015 |
NPI Last Update Date: | 04/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 13630 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
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. |