NPI 1770061616 · live from the CMS NPI Registry
Blu Magnolia Wellness LLC
Massage Therapist in Eunice, LA. National Provider Identifier 1770061616, active.
NPI record
| NPI | 1770061616 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2051 W Laurel Ave, Eunice, LA 70535 |
| Practice phone | 337-580-8150 |
| Mailing address | 4263 Chataignier Rd, Ville Platte, LA 70586 |
| Enumerated | August 2, 2018 |
| Last updated | August 2, 2018 |
| Authorized official | Ashley Nichols-Hopkins, Owner |
| Other names | Ashley Nichols-Hopkins |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 8832 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.