Healthcare Provider Details

I. General information

NPI: 1255235172
Provider Name (Legal Business Name): LOTUS TOUCH THERAPIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2033 E PASS RD STE C
GULFPORT MS
39507-3714
US

IV. Provider business mailing address

14029 FOX HILL DR
GULFPORT MS
39503-5396
US

V. Phone/Fax

Practice location:
  • Phone: 228-223-3298
  • Fax:
Mailing address:
  • Phone: 228-223-3298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ROBERTA ABSHIRE
Title or Position: ORGANIZER
Credential: MT
Phone: 228-223-3298