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Contact Information

KNEADED MOMENTS MASSAGE
5650 W CENTRAL AVE
SUITE C2
TOLEDO, OH43615-1519
 Phone: 419-315-5010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for KNEADED MOMENTS MASSAGE

NPI Number 1720436090
LBN Legal business name KNEADED MOMENTS MASSAGE
Authorized official JENNIFER HERTZFELD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2016
Last updated 05/27/2016 - About 10 years ago
Identifiers
OH License # 33010862
OH License # 33017699
OH License # 33019158
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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