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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
163WH0200X
Home Health Registered Nurse
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
225100000X
Physical Therapist
2255A2300X
Athletic Trainer
225700000X
Massage Therapist
225X00000X
Occupational Therapist
374U00000X
Home Health Aide

Other

Enumeration date
06/21/2018
Last updated
06/21/2018
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