Healthcare Provider Details

I. General information

NPI: 1477464287
Provider Name (Legal Business Name): WHOLE BODY HEALING, MASSAGE & REIKI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 AUBURN ST
AUBURN MA
01501-2428
US

IV. Provider business mailing address

63 AUBURN ST
AUBURN MA
01501-2428
US

V. Phone/Fax

Practice location:
  • Phone: 508-341-3273
  • Fax:
Mailing address:
  • Phone: 508-341-3273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY MYERS
Title or Position: OWNER
Credential:
Phone: 508-341-3273