MEDICARE: TRUTH UNLIMITED LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1366279275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUTH UNLIMITED LLC

Provider Business Mailing Address
First Line	:	10260 PLEASANT LAKE BLVD APT C5
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44130-7463
Country	:	US
Telephone Number	:	440-263-7258
Fax Number	:

Provider Business Practice Location Address
First Line	:	707 BROOKPARK RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-5800
Country	:	US
Telephone Number	:	216-329-7770
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MISS LATIFIA ELLIS
Credential	:	LMT
Telephone Number	:	216-329-7770

Provider Enumeration Date	:	09/16/2024
Last Update Date	:	09/16/2024

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Directions to “TRUTH UNLIMITED LLC ” Practice Location

Language	Start Address	Practice Location

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