Provider Demographics
NPI:1023819075
Name:EBB AND FLOW HEALTHING PRACTICES LLC
Entity type:Organization
Organization Name:EBB AND FLOW HEALTHING PRACTICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:N
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:NVMT
Authorized Official - Phone:702-720-7802
Mailing Address - Street 1:9620 LAS VEGAS BLVD S STE S3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-6507
Mailing Address - Country:US
Mailing Address - Phone:702-720-7802
Mailing Address - Fax:
Practice Address - Street 1:9620 LAS VEGAS BLVD S STE S3
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-6507
Practice Address - Country:US
Practice Address - Phone:702-720-7802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty