Two Hands Dancing

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

TWO HANDS DANCING

Practice address

7770 Healdsburg Ave
Sebastopol, CA 95472

Phone

(707) 827-7773

NPI assigned

Mar 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel L Wagner, CMT CERTIFIED MASSAG

Title

Owner

Phone

(707) 829-7773

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750406773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 GRAVENSTEIN HWY SO",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "95472",
            "telephone_number": "907-829-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 HEALDSBURG AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "95472",
            "telephone_number": "707-827-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO HANDS DANCING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-829-7773",
        "authorized_official_credential": "CMT CERTIFIED MASSAG"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TLC Child and Family Services
• Amy Tomczak, MFT
• Joan Tompkins, MFT
• Diana Louise Trichilo, PH.D., ABPDN
• Bohanna Renee Tucker
• Bill Jose Uriarte, DC
• Agnes Leonia Van de Put, PT
• Shiela May Vanderveer, LM, CPM
• Anita Vasudevan, MD
• Aine Therese Vejby, M.S., CCC-SLP

• Massage Therapist in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.