Organization · NPI-2

12 Hour Massage 2 LLC

Massage Therapist · Lake Charles, LA

NPI number1841807906
StatusActive
Last updated in NPPESSep 23, 2020

Details

NPI
1841807906
Entity type
Organization (NPI-2)
Legal business name
12 Hour Massage 2 LLC
Organization subpart
No
Enumeration date
Sep 23, 2020
Certification date
Sep 23, 2020
Last updated
Sep 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist––Yes

Practice location

3113 Ryan St Ste 6
Lake Charles, LA 70601-8587

Phone 337-802-9631

Mailing address

3113 Ryan St Ste 6
Lake Charles, LA 70601-8587

Phone 337-802-9631

Authorized official

Holli Coco Graves
Co-Owner & Lmt
3373021675

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