Lotus Spa & Salon, LLC
NPI #1922734482 in Fort Worth, Texas
Provider Information
- NPI Number
- 1922734482
- Entity Type
- Organization
- Organization Name
- Lotus Spa & Salon, LLC
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Jul 27, 2022
- Last Updated
- Jul 27, 2022
Practice Location
- Address
- 6115 CAMP BOWIE BLVD STE 154
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76116-5544
- Phone
- (817) 386-7865
Authorized Official
- Name
- RUTH STOUT, LMT
- Title
- PARTNER
- Phone
- (817) 386-7865
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
| Licensed Vocational Nurse |
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