Organization
ALLAY INTEGRATIVE MASSAGE THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANA NADINE COOPER LMT (OWNER/LMT)
(334) 701-9332
Entity
Organization
Contact information
Practice address
2543 ROSS CLARK CIR, SUITE #4, DOTHAN, AL 36301-4925
(334) 701-9332
(334) 699-1308
Mailing address
2543 ROSS CLARK CIR, SUITE #4, DOTHAN, AL 36301-4925
(334) 701-9332
(334) 699-1308
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2235
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548664568
INDIVIDUAL NPI
AL
Enumeration date
10/30/2014
Last updated
10/30/2014
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