Provider Demographics
NPI: | 1114725314 |
---|---|
Name: | ALUNA SKINCARE AND MASSAGE LLC |
Entity type: | Organization |
Organization Name: | ALUNA SKINCARE AND MASSAGE LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | NELSA |
Authorized Official - Middle Name: | E |
Authorized Official - Last Name: | LOZADA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 254-245-7796 |
Mailing Address - Street 1: | 4400 EAST CENTRAL TEXAS EXPRESSWAY |
Mailing Address - Street 2: | SUITE 2B |
Mailing Address - City: | KILLEEN |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 76543 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 254-245-7796 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 4400 EAST CENTRAL TEXAS EXPRESSWAY |
Practice Address - Street 2: | SUITE 2B |
Practice Address - City: | KILLEEN |
Practice Address - State: | TX |
Practice Address - Zip Code: | 76543 |
Practice Address - Country: | US |
Practice Address - Phone: | 254-245-7796 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-03-04 |
Last Update Date: | 2025-03-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | Group - Multi-Specialty |