Healthcare Provider Details

I. General information

NPI: 1437850435
Provider Name (Legal Business Name): HEART FELT TOUCH MASSAGE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2023
Last Update Date: 03/15/2023
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7282 YORK AVE
GLOUCESTER VA
23061-5181
US

IV. Provider business mailing address

7282 YORK AVE
GLOUCESTER VA
23061-5181
US

V. Phone/Fax

Practice location:
  • Phone: 804-693-9000
  • Fax:
Mailing address:
  • Phone: 804-693-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. GINGER SPENCER
Title or Position: OWNER
Credential: LMT
Phone: 804-832-8859