Healthcare Provider Details
I. General information
NPI: 1073427001
Provider Name (Legal Business Name): ON POINT THERAPEUTIC MASSAGE & WELLNESS BOUTIQUE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25 NORTH AVE W
CRANFORD NJ
07016-2296
US
IV. Provider business mailing address
25 NORTH AVE W
CRANFORD NJ
07016-2296
US
V. Phone/Fax
- Phone: 908-309-7080
- Fax:
- Phone: 908-309-7080
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MRS.
LISA
SINCLAIR
Title or Position: OWNER
Credential: LMT
Phone: 908-309-7080