Organization
THERAPEUTIC KNEADS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUEMILY PUGH B.S., C.C.T., L.M.T. (CO-OWNER)
(318) 773-6230
Entity
Organization
Contact information
Practice address
111 FREESTATE BLVD, SUITE 110, SHREVEPORT, LA 71107-6540
(318) 773-6230
Mailing address
111 FREESTATE BLVD, SUITE 110, SHREVEPORT, LA 71107-6540
(318) 773-6230
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA0631
LA
Other
Enumeration date
05/04/2016
Last updated
05/05/2016
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