Provider Demographics
NPI:1982976759
Name:GENTLE HANDS MASSAGE THERAPY INC
Entity type:Organization
Organization Name:GENTLE HANDS MASSAGE THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALBERTINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROSELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:305-763-2566
Mailing Address - Street 1:9745 SW 72ND ST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4652
Mailing Address - Country:US
Mailing Address - Phone:305-763-2566
Mailing Address - Fax:
Practice Address - Street 1:9745 SW 72ND ST
Practice Address - Street 2:SUITE 115
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4652
Practice Address - Country:US
Practice Address - Phone:305-763-2566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA66107225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty