Organization
WAI PAIN MANAGEMENT MASSAGE THERAPY
Active
Parent organization
WAI PAIN MANAGEMENT MASSAGE THERAPY
Other names
WAI pain management massage therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAI PAIN MANAGEMENT MASSAGE THERAPY
Authorized official
MS. WAI MUN AU (MASSAGE THERAPIT)
(267) 255-4039
Entity
Organization
Contact information
Practice address
934 ARCH ST, PHILADELPHIA, PA 19107-3107
(267) 255-4039
(215) 829-0499
Mailing address
1231 CHESTNUT ST # 128, PHILADELPHIA, PA 19107-4105
(267) 255-4039
(215) 829-0499
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
207881
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750516084
KEYSTONE HEALTH PLEN EAST
PA
05
—
1750516084
—
PA
Enumeration date
05/15/2009
Last updated
05/19/2009
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