Muscle Therapy Clinic Llc in Fort Wayne - Massage Therapist
Muscle Therapy Clinic Llc - NPI 1720294432
Muscle Therapy Clinic Llc is a Massage Therapist in Fort Wayne, Indiana. Muscle Therapy Clinic Llc practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Muscle Therapy Clinic Llc is 1720294432. The last update date is 2020-08-22.
Muscle Therapy Clinic Llc's current location address is 6409 Georgetown North Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604929999 and fax number 2609691105. The mailing address for Muscle Therapy Clinic Llc is 6409 Georgetown North Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Muscle Therapy Clinic Llc |
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Address | 6409 Georgetown North Blvd, Fort Wayne, Indiana |
Phone Number | 2604929999 |
Fax Number | 2609691105 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Jalae-Brown Sue Kathleen |
Credentials | CERTIFIED |
Telephone Number | 2604929999 |
NPI Number Detail
NPI Number | 1720294432 |
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Provider Enumeration Date | 2007-05-16 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 6409 Georgetown North Blvd |
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City | Fort Wayne |
State | Indiana (IN) |
Post Code | 46815 |
Phone Number | 2604929999 |
Fax Number | 2609691105 |
Provider's Primary Taxonomy Detail
Speciality | Massage Therapist |
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Taxonomy | 225700000X |
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. |
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What is the unique identification code assigned to Muscle Therapy Clinic Llc by the Centers for Medicare & Medicaid Services?
The Muscle Therapy Clinic Llc has been issued the NPI (National Provider Identifier) 1720294432. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Muscle Therapy Clinic Llc?
The Muscle Therapy Clinic Llc is physically situated at 6409 Georgetown North Blvd, in the city of Fort Wayne, state of IN, with the postal code 46815.
What is Muscle Therapy Clinic Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Muscle Therapy Clinic Llc's specialized field of practice is Massage Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225700000X.
On what date did the Muscle Therapy Clinic Llc receive the assignment of its 1720294432 from the Centers for Medicare & Medicaid Services?
The Muscle Therapy Clinic Llc was issued its 1720294432 by the Centers for Medicare & Medicaid Services on 2007-05-16.
When was the information regarding Muscle Therapy Clinic Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Muscle Therapy Clinic Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.