NPI 1104617034 · live from the CMS NPI Registry
Kristen M Behar Allen, licenced massage
Massage Therapist in Deridder, LA. National Provider Identifier 1104617034, active.
NPI record
| NPI | 1104617034 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 418 W 1st St, Deridder, LA 70634 |
| Practice phone | 940-218-3134 |
| Mailing address | Po Box 275, Rosepine, LA 70659 |
| Enumerated | May 12, 2025 |
| Last updated | May 12, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | la10088 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.