MEDICAL MASSAGE OF DELAWARE NPI 1679937122

Clinic/Center (Health Service) in Wilmington, DE

About MEDICAL MASSAGE OF DELAWARE

Medical Massage Of Delaware is a provider in Wilmington, DE. The NPI number assigned to this provider is 1679937122. The practitioner's primary taxonomy code is Clinic/Center (261QH0100X). The provider is registered as an organization and their NPI record was last updated 3 years ago.

NPI

1679937122

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMEDICAL MASSAGE OF DELAWARE
Provider Location Address234 PHILADELPHIA PIKE WILMINGTON, DE 19809 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 272195 FORT COLLINS, CO 80527 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-11-2016 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-11-2016 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code261QH0100X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationHealth Service
License No.MT-0004006
License StateDE

Business Address

MEDICAL MASSAGE OF DELAWARE
234 PHILADELPHIA PIKE
WILMINGTON, DE
ZIP 19809
Phone: (888) 757-1951
Fax: (877) 757-1951

Get Directions

Mailing Address

MEDICAL MASSAGE OF DELAWARE
PO BOX 272195
FORT COLLINS, CO
ZIP 80527
Phone: (888) 757-1951
Fax: (877) 757-1951

Authorized Official

Authorized Official Name KIM HOLTZ Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleCASE MANAGER
Authorized Official Phone(888) 757-1951

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154454510CASE MANAGEMENT SERVICES, INC.
Organization
Case Management234 PHILADELPHIA PIKE SUITE 6
WILMINGTON, DE 19809
(302) 354-3711
Previous NPI
1679937114
Next NPI
1679937130