NPI 1154910024 · live from the CMS NPI Registry
Luke Alphonso
Massage Therapist in Leesville, LA. National Provider Identifier 1154910024, active.
NPI record
| NPI | 1154910024 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1108 Port Arthur Ter, Leesville, LA 71446 |
| Practice phone | 337-377-0477 |
| Enumerated | January 14, 2021 |
| Last updated | January 14, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | LAMT6960 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.