| Lighthouse Spa Llc | |
|
850 N Lake Blvd, 20a, Tahoe City, CA 96145-5546 | |
| (530) 583-8100 | |
| Not Available |
| Full Name | Lighthouse Spa Llc |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 850 N Lake Blvd, Tahoe City, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952188856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | (NU) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Spa Llc Po Box 5546, Tahoe City, CA 96145-5546 Ph: Not Available | Lighthouse Spa Llc 850 N Lake Blvd, 20a, Tahoe City, CA 96145-5546 Ph: (530) 583-8100 |
Kathryn May Hinkle, CMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 N Lke Blvd, Suite 204, Tahoe City, CA 96145 Phone: 530-205-5850 |
Ms. Travis Mary Mcguire, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2785 Sierra View Ave, Tahoe City, CA 96145 Phone: 530-448-9405 |