Healthcare Provider Details

I. General information

NPI: 1982984654
Provider Name (Legal Business Name): THE RELAXATION POINT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2011
Last Update Date: 08/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W BUFFALO ST
ITHACA NY
14850-4114
US

IV. Provider business mailing address

PO BOX 36
LANSING NY
14882-0036
US

V. Phone/Fax

Practice location:
  • Phone: 607-379-1639
  • Fax:
Mailing address:
  • Phone: 607-379-1639
  • 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: MR. JOSEPH HOLMGREN
Title or Position: OWNER
Credential: L.M.T.
Phone: 607-379-1639