Organization
HOPE WITHIN WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEA R.M THIBEAULT LMT (CO- OWNER)
(570) 497-4766
Entity
Organization
Contact information
Practice address
305 S CHURCH ST, SUITE 115, HAZLETON, PA 18201-7605
(570) 497-4766
(570) 245-3899
Mailing address
305 S CHURCH ST, SUITE 115, HAZLETON, PA 18201-7605
(570) 497-4766
(570) 245-3899
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005879L
PA
225700000X
Massage Therapist
MSG003195
PA
225700000X
Massage Therapist
MSG003571
PA
Other
Enumeration date
07/27/2012
Last updated
07/31/2012
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