Healthcare Provider Details

I. General information

NPI: 1760303655
Provider Name (Legal Business Name): TENSION RELIEF MASSAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

846 CHURCH ST
HAWLEY PA
18428-1438
US

IV. Provider business mailing address

103 WYOMING AVE
HAWLEY PA
18428-1035
US

V. Phone/Fax

Practice location:
  • Phone: 570-225-1624
  • Fax:
Mailing address:
  • Phone: 214-469-4503
  • 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: MS. ELISE ROSE FITZGERALD
Title or Position: PRESIDENT
Credential: LMT
Phone: 570-225-1624