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General NPI Number Information
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NPI Number | 1134848682
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Entity Type | Organization
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Legal Business Name | TREE HOUSE ENRICHMENTS MASSAGE THERAPY SERVICES,LLC
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 3103 MONTERREY DR
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City | BATON ROUGE
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State | LA
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Zip | 70814-4024
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Country | US
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Telephone | 225-428-6614
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Fax | 225-217-0237
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Provider Business Mailing Address
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Address Line | 3320 WARREN DR
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City | BATON ROUGE
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State | LA
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Zip | 70814-4056
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Country | US
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Telephone | 225-428-6614
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Fax | 225-217-0237
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Authorized Official
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Title or Position | CEO/OWNER
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Name | CHANICE UNCHELLE BOUDREAUX
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Credential | LMT
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Telephone | 225-428-6614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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