Organization
PEACOCK HEAVENLY MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCY MAE PEACOCK LMT (LIS. MASSAGE THERAPIST)
(409) 724-7882
Entity
Organization
Contact information
Practice address
3800 HWY 365, REGIONAL SQUARE, PORT ARTHUR, TX 77642
(409) 724-7882
Mailing address
3800 HWY 365, SUITE 159, PORT ARTHUR, TX 77642
(409) 724-7882
(409) 853-1777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT034536
TX
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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