LOTUS TRANSFORMATIONS LLC NPI 1417663675

NPI Information

NPI: 1417663675
Provider Name: LOTUS TRANSFORMATIONS, LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
619 S WASHINGTON ST STE 202
MOSCOW, ID
ZIP 83843
Phone: (208) 301-8557
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LOTUS TRANSFORMATIONS, LLC is a massage therapist in Moscow, ID. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. LOTUS TRANSFORMATIONS, LLC NPI is 1417663675. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

619 S WASHINGTON ST STE 202
MOSCOW, ID
ZIP 83843-063
Phone: (208) 301-8557
Fax: (208) 882-6866

The provider's authorized official is Danielle M Watson .
The authorized official title is Owner and has the following contact phone number (208) 301-8557.

The enumeration date for this NPI number is 1/30/2023 and was last updated on 1/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1326689783	OTHER	IDAHO	REGENCE
2	1346689783	OTHER	IDAHO	REGENCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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