=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760970628
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEAL BY TOUCH INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/26/2018
-----------------------------------------------------
Last Update Date | 04/26/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2531 US HIGHWAY 27 S
-----------------------------------------------------
City | SEBRING
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33870-2125
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 863-382-1805
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2531 US HIGHWAY 27 S
-----------------------------------------------------
City | SEBRING
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33870-2125
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 863-382-1805
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, LMT
-----------------------------------------------------
Name | ASHLEY TINKER
-----------------------------------------------------
Credential | LMT
-----------------------------------------------------
Telephone | 863-414-3088
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 51422
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------