Healthcare Provider Details

I. General information

NPI: 1922514439
Provider Name (Legal Business Name): CURL-UP & RELAX SALON AND HAIR LOSS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3236 WILCOX BLVD
CHATTANOOGA TN
37411-1071
US

IV. Provider business mailing address

3236 WILCOX BLVD
CHATTANOOGA TN
37411-1071
US

V. Phone/Fax

Practice location:
  • Phone: 423-595-0652
  • Fax:
Mailing address:
  • Phone: 423-595-0652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State

VIII. Authorized Official

Name: MRS. JOSEPHINE P ODOM
Title or Position: OWNER/SPECIALIST
Credential: CERTIFIED HAIR LOSS
Phone: 423-595-0652