NPI 1043763337 · live from the CMS NPI Registry
Scott Bedortha
Massage Therapist in Metairie, LA. National Provider Identifier 1043763337, active.
NPI record
| NPI | 1043763337 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 433 Metairie Road, Suite 106, Metairie, LA 70005 |
| Practice phone | 504-835-7554 |
| Enumerated | August 3, 2016 |
| Last updated | August 3, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 4687 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.