Organization
LOTUS TRANSFORMATIONS, LLC
Active
Other names
Lotus Transformations
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE M WATSON LMP (OWNER)
(208) 301-8557
Entity
Organization
Contact information
Practice address
619 S WASHINGTON ST STE 202, MOSCOW, ID 83843-3063
(208) 301-8557
(208) 882-6866
Mailing address
619 S WASHINGTON ST STE 202, MOSCOW, ID 83843-3063
(208) 301-8557
(208) 882-6866
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326689783
REGENCE
ID
01
—
1346689783
REGENCE
ID
Enumeration date
01/30/2023
Last updated
01/30/2023
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