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NPI Code Detail

MEDICARE: THERAPEUTIC MASSAGE CENTER

MEDICARE: THERAPEUTIC MASSAGE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172M00000XMechanotherapist021508OH

General Provider Information

NPI Number : 1750708087
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPEUTIC MASSAGE CENTER
Provider Business Mailing Address
First Line : 1840 ZOLLINGER RD
Second Line : SUITE A
City : COLUMBUS
State : OH
Zip : 43221-2850
Country : US
Telephone Number : 614-442-6754
Fax Number : 614-442-6737
Provider Business Practice Location Address
First Line : 1840 ZOLLINGER RD
Second Line : SUITE A
City : COLUMBUS
State : OH
Zip : 43221-2850
Country : US
Telephone Number : 614-442-6754
Fax Number : 614-442-6737
Authorized Official
Title or Position : OWNER
Name : MS. ELAINE F MILLER
Credential : LMT
Telephone Number : 614-442-6754
Provider Enumeration Date : 03/25/2014
Last Update Date : 03/25/2014

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Directions to “THERAPEUTIC MASSAGE CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.