NPI 1730913609 · live from the CMS NPI Registry
Blowout Lounge LLC
Massage Therapist in Charlotte, NC. National Provider Identifier 1730913609, active.
NPI record
| NPI | 1730913609 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 4310 Park Rd, Unit 102, Charlotte, NC 28209 |
| Practice phone | 704-774-3494 |
| Mailing address | 15701 Collins Ave Unit 805, Sunny Isles Beach, FL 33160 |
| Enumerated | August 31, 2024 |
| Last updated | August 31, 2024 |
| Authorized official | Lawrence Master, President |
| Other names | Silent Moment Spa |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.