Organization
CONCIERGE MASSAGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM EARL PASSMAN JR. LMT, MMP (OWNER)
(985) 662-0991
Entity
Organization
Contact information
Practice address
1402 S MAGNOLIA ST, D, HAMMOND, LA 70403-5020
(985) 662-0991
(985) 662-0976
Mailing address
1402 S MAGNOLIA ST, D, HAMMOND, LA 70403-5020
(985) 662-0991
(985) 662-0976
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
E3591
LA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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