Provider Demographics
NPI:1538041678
Name:THE BLISSFUL NATION OF RELAXATION
Entity type:Organization
Organization Name:THE BLISSFUL NATION OF RELAXATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:ODILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LARA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:956-624-0044
Mailing Address - Street 1:7600 S COLORADO LN
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-9287
Mailing Address - Country:US
Mailing Address - Phone:956-258-5220
Mailing Address - Fax:956-258-5221
Practice Address - Street 1:1313 W POLK AVE STE 18
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-2141
Practice Address - Country:US
Practice Address - Phone:956-258-5220
Practice Address - Fax:956-258-5221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty