Organization
PURPLE LIGHT TOUCH MASSAGE AND WELLNESS LLC
Active
Other names
PLT Massage and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE KELSO LMI (CEO FOUNDER)
(817) 350-9457
Entity
Organization
Contact information
Practice address
5757 RUFE SNOW DR STE B, NORTH RICHLAND HILLS, TX 76180-6080
(817) 350-9457
Mailing address
5755 RUFE SNOW DR STE 160, NORTH RICHLAND HILLS, TX 76180-6058
(817) 520-2234
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
MT117848
TX
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174926000.
—
TX
Enumeration date
04/16/2018
Last updated
03/12/2021
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