Organization Name: | DEL HOLDINGS, LLC |
NPI Number: | 1841655131 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EMILY LARSON (CEO) |
Mailing Address: | 2450 E 25th St C Idaho Falls |
State: | ID US |
Postal Code: | 834047577 |
Phone Number: | 2086565858 |
Fax Number: | 2085497575 |
NPI Enumeration Date: | 12/31/2015 |
NPI Last Update Date: | 12/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MAS-1466 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
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. |