NPI 1205340635 · live from the CMS NPI Registry
Kyle Thomas Cavaretta, LMT
Massage Therapist in Mandeville, LA. National Provider Identifier 1205340635, active.
NPI record
| NPI | 1205340635 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 221 Saint Ann Dr Ste 2, Mandeville, LA 70471 |
| Practice phone | 985-624-9888 |
| Enumerated | November 21, 2017 |
| Last updated | November 21, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | LA8016 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.