Lotus Spa & Salon, LLC

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

Legal business name

LOTUS SPA & SALON, LLC

Doing business as

Lotus Massage & Pain Therapy

Practice address

6115 Camp Bowie Blvd Ste 154
Fort Worth, TX 76116-5544

Phone

(817) 386-7865

NPI assigned

Jul 27, 2022

Last updated

Jul 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruth Stout, LMT

Title

Partner

Phone

(817) 386-7865

Specialties & licenses 2

Addresses

Other names 1

• Lotus Massage & Pain Therapy Doing business as

Locations

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1922734482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 CAMP BOWIE BLVD STE 154",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165544",
            "telephone_number": "817-386-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 CAMP BOWIE BLVD STE 154",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165544",
            "telephone_number": "817-386-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS SPA & SALON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "817-386-7865",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus Massage & Pain Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quinn Patricia Losefsky
• Lost and Found Counseling, LLC
• Leigha Lothrop, APRN, PMHNP-BC
• Lotus Anesthesia PLLC
• Lotus Assisted Living Facility LLC
• Lindy Lotz, PSY.D.
• Janice M Louck, MSN, RNCS, FNP
• Kathryn H Loud, NP
• Drew Taylor Louden, MD
• Keith Ward Louden, MD

• Licensed Vocational Nurse in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.