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POPLAR CREEK SPA, LLC
NPI 1811553852
Massage Therapist in Ooltewah, TN

Active since May 15, 2019
5906 MAIN ST STE 140, OOLTEWAH, TN 37363(423) 238-5775(423) 961-8113 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Poplar Creek Spa, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POPLAR CREEK SPA, LLC (NPI 1811553852) is a healthcare organization registered as a massage therapist in Ooltewah, Tennessee and active in the NPI registry since May 2019. The organization lists Emily Simmons, Owner/licensed Massage Therapist, as its authorized official.

NPPES Registry Identity

NPI1811553852
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NamePOPLAR CREEK SPA, LLC
Location Address5906 MAIN ST STE 140Ooltewah, TN 37363-9297
Mailing Address5906 Main St Ste 140Ooltewah, TN 37363-9297 · (423) 238-5775 · Fax (423) 961-8113
Phone(423) 238-5775
Fax(423) 961-8113
Organization SubpartNo
Authorized OfficialEmily SimmonsOwner/licensed Massage Therapist · (423) 238-5775
Enumeration DateMay 15, 2019
✔ NPI 1811553852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Also ListedAcupuncturistTaxonomy 171100000X
5906 MAIN ST STE 140, Ooltewah, TN 37363
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Other Identifiers 1

Medicaid1649687146WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poplar Creek Spa, LLC's NPI number?

The NPI number for Poplar Creek Spa, LLC is 1811553852. It was assigned to this organization in the NPPES registry on May 15, 2019.

Where is Poplar Creek Spa, LLC located?

Poplar Creek Spa, LLC is located at 5906 Main St Ste 140, Ooltewah, TN 37363. The listed phone number is (423) 238-5775.

What is Poplar Creek Spa, LLC's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Poplar Creek Spa, LLC was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.