Organization
12 HOUR MASSAGE LLC
Active
Organization
12 HOUR MASSAGE LLC
Active
Other names
12 Hour Massage
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH IRONS (CHIEF OPERATING OFFICER)
(337) 274-2764
Entity
Organization
Contact information
Practice address
242 W HALE ST, LAKE CHARLES, LA 70601-8421
(337) 274-2803
Mailing address
2927 SAM HOUSTON FOREST DR, LAKE CHARLES, LA 70611-3327
(337) 274-2764
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
E2861
LA
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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