Organization
KNEADED MOMENTS MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M HERTZFELD (OWNER)
(419) 315-5010
Entity
Organization
Contact information
Practice address
5650 W CENTRAL AVE, SUITE C2, TOLEDO, OH 43615-1519
(419) 315-5010
Mailing address
5650 W CENTRAL AVE, SUITE C2, TOLEDO, OH 43615-1519
(419) 315-5010
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
33010862
OH
172M00000X
Mechanotherapist
33017699
OH
172M00000X
Mechanotherapist
Primary
33019158
OH
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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