NPI 1740630441 · live from the CMS NPI Registry
Alicia David
Massage Therapist in Brusly, LA. National Provider Identifier 1740630441, active.
NPI record
| NPI | 1740630441 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 822 E Main St, Brusly, LA 70719 |
| Practice phone | 225-931-0082 |
| Mailing address | 822 East Main St, Brusly, LA 70719 |
| Enumerated | June 14, 2016 |
| Last updated | June 14, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | LA8219 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.