Organization
LOTUS SPA & SALON, LLC
Active
Other names
Lotus Massage & Pain Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH STOUT LMT (PARTNER)
(817) 386-7865
Entity
Organization
Contact information
Practice address
6115 CAMP BOWIE BLVD STE 154, FORT WORTH, TX 76116-5544
(817) 386-7865
Mailing address
6115 CAMP BOWIE BLVD STE 154, FORT WORTH, TX 76116-5544
(817) 386-7865
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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