Healthcare Provider Details

I. General information

NPI: 1194249284
Provider Name (Legal Business Name): TWIN FLAMES MASSAGE & WELLNESS CENTRE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2017
Last Update Date: 07/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 SOUTH ST
AKRON IA
51001-7716
US

IV. Provider business mailing address

PO BOX 121
AKRON IA
51001-0121
US

V. Phone/Fax

Practice location:
  • Phone: 712-281-4280
  • Fax:
Mailing address:
  • Phone: 712-281-4280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number083316
License Number StateIA

VIII. Authorized Official

Name: TAMBREY ELAINE GROVES
Title or Position: CO-OWNER
Credential: LMT
Phone: 712-281-4280