Healthcare Provider Details
I. General information
NPI: 1275449035
Provider Name (Legal Business Name): LOTUS MASSAGE AND REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11230 SEA GRASS CIR
BOCA RATON FL
33498-4917
US
IV. Provider business mailing address
11230 SEA GRASS CIR
BOCA RATON FL
33498-4917
US
V. Phone/Fax
- Phone: 561-888-9113
- Fax:
- Phone: 561-888-9113
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
HAF
HIGGOTT
Title or Position: CEO
Credential: MA
Phone: 561-888-9113