Organization Name: | THE UPCOUNTRY MASSAGE CO,LLC |
NPI Number: | 1477923969 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE 'NIKKI' JANSSEN (OWNER/PRINCIPAL THERAPIST) |
Mailing Address: | 7 Aewa Pl Ste 12 Makawao |
State: | HI US |
Postal Code: | 967688882 |
Phone Number: | 8085725959 |
Fax Number: | 8085720394 |
NPI Enumeration Date: | 09/28/2015 |
NPI Last Update Date: | 09/28/2015 |
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. |