Provider Demographics
NPI:1255706206
Name:BEYOND MASSAGE, LLC
Entity type:Organization
Organization Name:BEYOND MASSAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:GEHRKE
Authorized Official - Last Name:FOY
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:502-741-8963
Mailing Address - Street 1:1313 LYNDON LN
Mailing Address - Street 2:#101
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-7351
Mailing Address - Country:US
Mailing Address - Phone:502-741-8963
Mailing Address - Fax:502-650-8271
Practice Address - Street 1:1313 LYNDON LN
Practice Address - Street 2:#101
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-7351
Practice Address - Country:US
Practice Address - Phone:502-741-8963
Practice Address - Fax:502-650-8271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty