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General NPI Number Information
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NPI Number | 1023132271
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Entity Type | Organization
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Legal Business Name | HEALING TOUCH MASSAGE THERAPY, INC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 1 ALLAN CT
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City | MOUNTAIN TOP
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State | PA
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Zip | 18707-1263
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Country | US
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Telephone | 570-474-9522
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Fax | 570-474-9522
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Provider Business Mailing Address
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Address Line | 1 ALLEN COURT1
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City | MOUNTAIN TOP
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State | PA
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Zip | 18707
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Country | US
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Telephone | 570-474-9522
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Fax | 570-474-9522
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Authorized Official
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Title or Position | MEDICAL MASSAGE
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Name | MS. BETTY A. GIBBONS
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Credential | NCMMT
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Telephone | 570-474-9522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 1104
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License Number State | PA
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