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NPI 1902029689 · live from the CMS NPI Registry

Melissa R, Daniel, LMT

Massage Therapist in Deville, LA. National Provider Identifier 1902029689, active.

NPI record

NPI1902029689 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location162 Woodson Landing Rd, Deville, LA 71328
Practice phone318-466-9407
EnumeratedApril 11, 2007
Last updatedJuly 8, 2007
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000XLA3507 (LA)

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