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NPI Code Detail

MEDICARE: LUXE WELLNESS SPA LLC

MEDICARE: LUXE WELLNESS SPA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist

General Provider Information

NPI Number : 1518818467
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUXE WELLNESS SPA LLC
Provider Business Mailing Address
First Line : 1250 W SAM HOUSTON PKWY S STE 560
Second Line :
City : HOUSTON
State : TX
Zip : 77042-1941
Country : US
Telephone Number : 832-553-6204
Fax Number :
Provider Business Practice Location Address
First Line : 1250 W SAM HOUSTON PKWY S STE 560
Second Line :
City : HOUSTON
State : TX
Zip : 77042-1941
Country : US
Telephone Number : 832-553-6204
Fax Number :
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : KISHMA JOHNSON
Credential :
Telephone Number : 832-553-6204
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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Directions to “LUXE WELLNESS SPA LLC ” Practice Location

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