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Contact Information

SPECTRUM MASSAGE
101 BERWICK CIRCLE
LAFAYETTE, LA70508
 Phone: 337-344-2463
 Fax: 337-993-8466
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for SPECTRUM MASSAGE

NPI # 1144578709
LBN Legal business name SPECTRUM MASSAGE
Authorized official MADELINE KAHN - (OWNER/MANAGER/PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2012
Last updated 08/29/2012 - About 14 years ago
Identifiers
LA License # LA2355
LA Other 1548521909 NPPES
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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