MEDICARE: HAIR STUDIO AND DAY SPA, INC

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	:	1528462421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAIR STUDIO AND DAY SPA, INC

Provider Business Mailing Address
First Line	:	313 LOCUST ST
Second Line	:
City	:	PRINCETON
State	:	WV
Zip	:	24740-3625
Country	:	US
Telephone Number	:	304-425-7709
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 LOCUST ST
Second Line	:
City	:	PRINCETON
State	:	WV
Zip	:	24740-3625
Country	:	US
Telephone Number	:	304-425-7709
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MRS. BELINDA J ALFORD
Credential	:
Telephone Number	:	304-716-6504

Provider Enumeration Date	:	10/21/2014
Last Update Date	:	10/21/2014

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Directions to “HAIR STUDIO AND DAY SPA, INC ” Practice Location

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