Organization
LIGHTHOUSE SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIELA BARNETT OWNER/PRACTITIONER (MANAGING MEMBER)
(530) 583-8100
Entity
Organization
Contact information
Practice address
850 N LAKE BLVD, 20A, TAHOE CITY, CA 96145-5546
(530) 583-8100
Mailing address
PO BOX 5546, TAHOE CITY, CA 96145-5546
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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