Peacock Heavenly Massage
NPI #1003295312 in Port Arthur, Texas
Provider Information
- NPI Number
- 1003295312
- Entity Type
- Organization
- Organization Name
- Peacock Heavenly Massage
- Primary Specialty
- Massage Therapist
- Enumeration Date
- May 20, 2015
- Last Updated
- May 20, 2015
Practice Location
- Address
- 3800 HWY 365
- Address 2
- REGIONAL SQUARE
- City
- Port Arthur
- State
- Texas
- ZIP Code
- 77642
- Phone
- (409) 724-7882
Authorized Official
- Name
- MRS. LUCY MAE PEACOCK, LMT
- Title
- LIS. MASSAGE THERAPIST
- Phone
- (409) 724-7882
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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