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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