Copper Tree Retreat Unlimited LLC

NPI #1689411969 in Longview, Texas

Provider Information

NPI Number: 1689411969
Entity Type: Organization
Organization Name: Copper Tree Retreat Unlimited LLC
Primary Specialty: Massage Therapist
Enumeration Date: Jul 12, 2024
Last Updated: Jul 12, 2024

Practice Location

Address: 116 E SOUTH ST
City: Longview
State: Texas
ZIP Code: 75601-7437
Phone: (903) 230-1911

Authorized Official

Name: SHAY BLOUNT
Title: OPERATIONS MANAGER
Phone: (903) 230-1911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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