Provider Demographics
NPI:1740159888
Name:BLISS DAY SPA, LLC
Entity type:Organization
Organization Name:BLISS DAY SPA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GILSON DAUZAT
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:806-367-3735
Mailing Address - Street 1:PO BOX 262
Mailing Address - Street 2:
Mailing Address - City:DERIDDER
Mailing Address - State:LA
Mailing Address - Zip Code:70634-0262
Mailing Address - Country:US
Mailing Address - Phone:806-367-3735
Mailing Address - Fax:
Practice Address - Street 1:104 N BRYAN ST
Practice Address - Street 2:
Practice Address - City:DERIDDER
Practice Address - State:LA
Practice Address - Zip Code:70634-3720
Practice Address - Country:US
Practice Address - Phone:806-367-3735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty