Lighthouse Spa LLC

NPI #1952188856 in Tahoe City, California

Provider Information

NPI Number: 1952188856
Entity Type: Organization
Organization Name: Lighthouse Spa LLC
Primary Specialty: Massage Therapist
Enumeration Date: Sep 13, 2023
Last Updated: Sep 13, 2023

Practice Location

Address: 850 N LAKE BLVD
Address 2: 20A
City: Tahoe City
State: California
ZIP Code: 96145-5546
Phone: (530) 583-8100

Authorized Official

Name: SHIELA BARNETT, OWNER/PRACTITIONER
Title: MANAGING MEMBER
Phone: (530) 583-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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