NPI 1811046055 · live from the CMS NPI Registry
J J Allen, LMT
Massage Therapist in Baton Rouge, LA. National Provider Identifier 1811046055, active.
NPI record
| NPI | 1811046055 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 4701 Bluebonnet Blvd, Suite B, Baton Rouge, LA 70809 |
| Practice phone | 225-291-2626 |
| Mailing address | 15076 Palm Pointe Ave, Gonzales, LA 70737 |
| Enumerated | January 9, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | LA2069-01 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.