Provider Demographics
NPI:1629897186
Name:RESTORATION MASSAGE AND SKIN CARE LLC
Entity type:Organization
Organization Name:RESTORATION MASSAGE AND SKIN CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMARAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-259-6233
Mailing Address - Street 1:65 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ASSONET
Mailing Address - State:MA
Mailing Address - Zip Code:02702-1001
Mailing Address - Country:US
Mailing Address - Phone:508-644-1622
Mailing Address - Fax:
Practice Address - Street 1:65 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ASSONET
Practice Address - State:MA
Practice Address - Zip Code:02702-1001
Practice Address - Country:US
Practice Address - Phone:508-644-1622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty