| Poplar Creek Spa, Llc | |
|
5906 Main St Ste 140, Ooltewah, TN 37363-9297 | |
| (423) 238-5775 | |
| (423) 961-8113 |
| Full Name | Poplar Creek Spa, Llc |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 5906 Main St Ste 140, Ooltewah, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811553852 | NPI | - | NPPES |
| 1649687146 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Poplar Creek Spa, Llc 5906 Main St Ste 140, Ooltewah, TN 37363-9297 Ph: (423) 238-5775 | Poplar Creek Spa, Llc 5906 Main St Ste 140, Ooltewah, TN 37363-9297 Ph: (423) 238-5775 |
Mark Wayne Larson, MT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 10093 Sunny Ln, Ooltewah, TN 37363 Phone: 423-838-8906 | |
Bella Spa Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5121 Ooltewah Ringgold Rd, Ste B2, Ooltewah, TN 37363 Phone: 423-314-3005 | |
Mrs. Ellen Fischler Gauba, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 9325 Apison Pike Ste 137, Ooltewah, TN 37363 Phone: 310-617-7045 | |
Jennifer L Byrd, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5906 Main St, Suite 132, Ooltewah, TN 37363 Phone: 423-238-5775 Fax: 423-238-5774 | |
Yelena Dolinskay, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4322 Wellesley Dr, Ooltewah, TN 37363 Phone: 423-544-4431 | |
Mrs. Christine Deana Jean Dacus, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 9325 Apison Pike Ste 137, Ooltewah, TN 37363 Phone: 423-567-1083 | |
Martha Graham, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6333 Frankfurt Rd, Ooltewah, TN 37363 Phone: 419-266-5156 |