Organization Name: | BODY, HEART &SOUL MASSAGE |
NPI Number: | 1922426121 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELANIE ANNA MELLIS (OWNER) |
Mailing Address: | 18813 Willamette Dr West Linn |
State: | OR US |
Postal Code: | 970681711 |
Phone Number: | 5036212058 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2014 |
NPI Last Update Date: | 04/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 11662 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |