Organization Active NPI

12 Hour Massage 2 LLC

  • Massage Therapist
  • Lake Charles, LA
National Provider Identifier
1841807906
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
12 HOUR MASSAGE 2 LLC
Practice address
3113 Ryan St Ste 6
Lake Charles, LA 70601-8587
Phone
(337) 802-9631
NPI assigned
Sep 23, 2020
Last updated
Sep 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Holli Coco Graves, LMT
Title
Co-Owner & LMT
Phone
(337) 302-1675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

3113 Ryan St Ste 6
Lake Charles, LA 70601-8587

Mailing address

3113 Ryan St Ste 6
Lake Charles, LA 70601-8587
Phone (337) 802-9631

National Provider Directory

National Provider Directory

Locations

3113 Ryan St
Ste 6
Lake Charles, LA 70601
Phone (337) 802-9631

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1841807906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 RYAN ST STE 6",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018587",
            "telephone_number": "337-802-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 RYAN ST STE 6",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018587",
            "telephone_number": "337-802-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "12 HOUR MASSAGE 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "HOLLI",
        "authorized_official_middle_name": "COCO",
        "authorized_official_title_or_position": "CO-OWNER & LMT",
        "authorized_official_telephone_number": "337-302-1675",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.