Basic Information
| Provider Information | |||||||||
| NPI: | 1982357000 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WORLD IN HER HANDS MASSAGE THERAPY LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 773 SW WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | OR | ||||||||
| PostalCode: | 973383413 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5415437366 | ||||||||
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| Practice Location | |||||||||
| Address1: | 128 SE MILL ST | ||||||||
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| City: | DALLAS | ||||||||
| State: | OR | ||||||||
| PostalCode: | 973381908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5415437366 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/29/2022 | ||||||||
| LastUpdateDate: | 01/29/2022 | ||||||||
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| AuthorizedOfficialLastName: | ZIMMER | ||||||||
| AuthorizedOfficialFirstName: | ARIEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER-OPERATOR | ||||||||
| AuthorizedOfficialTelephone: | 5415437366 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | LMT | ||||||||
| NPICertificationDate: | 01/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225700000X | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist |
No ID Information.