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General NPI Number Information
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NPI Number | 1235091786
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Entity Type | Organization
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Legal Business Name | DEEP KNEAD MASSAGE THERAPIES L.L.C
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 547 WASHINGTON ST
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City | CHAGRIN FALLS
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State | OH
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Zip | 44022-4436
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Country | US
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Telephone | 440-227-3060
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Fax |
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Provider Business Mailing Address
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Address Line | 1080 RICHMOND RD
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City | PAINESVILLE
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State | OH
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Zip | 44077-1148
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Country | US
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Telephone | 440-227-3060
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED MASSAGE THERAPIST
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Name | MARCUS T HIMMELRIGHT
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Credential | L.M.T.
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Telephone | 440-227-3060
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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 |
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License Number State |
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