Organization Name: | BODYOLOGY MASSAGE CENTER |
NPI Number: | 1528338837 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH RENEE MASON (OWNER, LMT) |
Mailing Address: | 1815b S Main St Rice Lake |
State: | WI US |
Postal Code: | 548683005 |
Phone Number: | 7152342400 |
Fax Number: | 7152342400 |
NPI Enumeration Date: | 01/03/2012 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 4861-146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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. |