NPI 1659264257 · live from the CMS NPI Registry
Larita Buckhanas, LMT
Massage Therapist in Dallas, TX. National Provider Identifier 1659264257, active.
NPI record
| NPI | 1659264257 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 11133 Shady Trl # 470, Dallas, TX 75229 |
| Practice phone | 214-807-6778 |
| Mailing address | 2329 Edenborn Ave, Metairie, LA 70001 |
| Enumerated | June 2, 2025 |
| Last updated | June 2, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | MT029655 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.