Provider Demographics
NPI:1295329514
Name:RUSSIAN HANDS
Entity type:Organization
Organization Name:RUSSIAN HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EKATERINA
Authorized Official - Middle Name:N
Authorized Official - Last Name:EWERS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:541-659-5670
Mailing Address - Street 1:1854 NW 6TH ST # 1
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97526-1038
Mailing Address - Country:US
Mailing Address - Phone:541-659-5670
Mailing Address - Fax:
Practice Address - Street 1:1854 NW 6TH ST
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526-1038
Practice Address - Country:US
Practice Address - Phone:541-659-5670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty