Organization
SPECTRUM MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADELINE EVE KAHN LMT (OWNER/MANAGER/PRACTITIONER)
(337) 344-2463
Entity
Organization
Contact information
Practice address
101 BERWICK CIRCLE, LAFAYETTE, LA 70508
(337) 344-2463
(337) 993-8466
Mailing address
101 BERWICK CIRCLE, LAFAYETTE, LA 70508
(337) 344-2463
(337) 993-8466
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA2355
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548521909
NPPES
LA
Enumeration date
08/29/2012
Last updated
08/29/2012
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