Healthcare Provider Details

I. General information

NPI: 1043454283
Provider Name (Legal Business Name): DHARMA HEALING ARTS MASSAGE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2009
Last Update Date: 04/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 COURT ST
BROOKLYN NY
11231-4410
US

IV. Provider business mailing address

331 COURT ST
BROOKLYN NY
11231-4410
US

V. Phone/Fax

Practice location:
  • Phone: 718-237-3139
  • Fax: 718-237-2169
Mailing address:
  • Phone: 718-237-3139
  • Fax: 718-237-2169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number018765
License Number StateNY

VIII. Authorized Official

Name: LAUREN SWEENEY-HAMPEL
Title or Position: OWNER
Credential: LMT
Phone: 718-237-3139