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NPI 1881189611 · live from the CMS NPI Registry

Breana R Carpenter

Massage Therapist in Baton Rouge, LA. National Provider Identifier 1881189611, active.

NPI record

NPI1881189611 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location12090 S Harrells Ferry Rd Ste P, Baton Rouge, LA 70816
Practice phone225-278-6324
Mailing address1133 Forest Oaks Dr, Baton Rouge, LA 70815
EnumeratedJune 25, 2018
Last updatedJune 25, 2018
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000Xla8233 (LA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.