=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376675645
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RUB ME THE RIGHT WAY INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/12/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7420 82ND ST
-----------------------------------------------------
City | LUBBOCK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79424-4969
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-866-0089
-----------------------------------------------------
Fax | 806-866-0091
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7420 82ND ST
-----------------------------------------------------
City | LUBBOCK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79424-4969
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-866-0089
-----------------------------------------------------
Fax | 806-866-0091
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, LMT, MTI, CMMP
-----------------------------------------------------
Name | MS. DONNA KAY RICHARDSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 806-866-0089
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | MT040219
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------