Healthcare Provider Details

I. General information

NPI: 1942155171
Provider Name (Legal Business Name): GIFTED HANDS SALON & SPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 W AVENUE D
COPPERAS COVE TX
76522-2151
US

IV. Provider business mailing address

117 W AVENUE D
COPPERAS COVE TX
76522-2151
US

V. Phone/Fax

Practice location:
  • Phone: 254-238-8121
  • Fax:
Mailing address:
  • Phone: 254-238-8121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHANDA YVETTE SCOTT
Title or Position: OWNEWE
Credential:
Phone: 254-238-8121