Provider Demographics
NPI:1487929097
Name:ART OF HEALING TOUCH
Entity type:Organization
Organization Name:ART OF HEALING TOUCH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:773-363-7827
Mailing Address - Street 1:6738 S MERRILL AVE
Mailing Address - Street 2:UNIT 4S
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-1295
Mailing Address - Country:US
Mailing Address - Phone:773-363-7827
Mailing Address - Fax:
Practice Address - Street 1:1746 E 55TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-5966
Practice Address - Country:US
Practice Address - Phone:773-667-9053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No305S00000XManaged Care OrganizationsPoint of Service