Poplar Creek Spa, LLC

NPI #1811553852 in Ooltewah, Tennessee

Provider Information

NPI Number
1811553852
Entity Type
Organization
Organization Name
Poplar Creek Spa, LLC
Primary Specialty
Massage Therapist
Enumeration Date
May 15, 2019
Last Updated
May 15, 2019

Practice Location

Address
5906 MAIN ST STE 140
ZIP Code
37363-9297
Phone
(423) 238-5775

Authorized Official

Name
EMILY SIMMONS, LMT
Title
OWNER/LICENSED MASSAGE THERAPIST
Phone
(423) 238-5775

Specialties & Taxonomy Codes

Specialty
Acupuncturist
Massage Therapist

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