Provider Demographics
NPI:1255198487
Name:TAKE KARE MASSAGE & STRETCH LLC
Entity type:Organization
Organization Name:TAKE KARE MASSAGE & STRETCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KERRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:228-224-6602
Mailing Address - Street 1:517 W NORTH ST STE A517
Mailing Address - Street 2:
Mailing Address - City:PASS CHRISTIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39571-2605
Mailing Address - Country:US
Mailing Address - Phone:228-224-6602
Mailing Address - Fax:
Practice Address - Street 1:517 W NORTH ST STE A517
Practice Address - Street 2:
Practice Address - City:PASS CHRISTIAN
Practice Address - State:MS
Practice Address - Zip Code:39571-2605
Practice Address - Country:US
Practice Address - Phone:228-224-6602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty