Organization Name: | IDEAL THERAPY AND WELLNESS, LLC |
NPI Number: | 1821347295 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARRI LYNN OSBOURNE (OWNER) |
Mailing Address: | 810 Orchard Ln Suite201 Beavercreek Township |
State: | OH US |
Postal Code: | 454347229 |
Phone Number: | 9372310880 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2012 |
NPI Last Update Date: | 08/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 33018977NR |
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. |