| Hollywood Nails & Spa Llc | |
|
510 N Halleck St, Demotte, IN 46310-9553 | |
| (219) 987-3001 | |
| Not Available |
| Full Name | Hollywood Nails & Spa Llc |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 510 N Halleck St, Demotte, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255516407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Hollywood Nails & Spa Llc 510 N Halleck St, Demotte, IN 46310-9553 Ph: (219) 987-3001 | Hollywood Nails & Spa Llc 510 N Halleck St, Demotte, IN 46310-9553 Ph: (219) 987-3001 |
Kristy Woytinek, ESTHETICIAN, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 N Halleck St, Demotte, IN 46310 Phone: 219-987-3001 | |
Candice Milsop, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 N Halleck St, Demotte, IN 46310 Phone: 219-987-3001 |