NPI 1376137018 · live from the CMS NPI Registry
Daric Deshawn Bass, LMT, CPT, CES.
Massage Therapist in 126 Belleauwood Circle, Belle Chasse, La, LA. National Provider Identifier 1376137018, active.
NPI record
| NPI | 1376137018 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 126 Belleauwood Circle, 126 Belleauwood Circle, Belle Chasse, La, LA 70037 |
| Practice phone | 504-228-9137 |
| Mailing address | 671 Rosa Ave Ste 211, Metairie, LA 70005 |
| Enumerated | February 23, 2021 |
| Last updated | February 23, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | LA7594 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.