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Organization
TRANQUILITY MASSAGE
Active
Organization
TRANQUILITY MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD NEISWONGER (OWNER)
(214) 506-0101
Entity
Organization
Contact information
Practice address
3901 N I 10 SERVICE RD W, METAIRIE, LA 70002-6829
(469) 299-4611
Mailing address
2885 SANFORD AVE SW # 23774, GRANDVILLE, MI 49418-1342
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
2255A2300X
Athletic Trainer
—
NULL
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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