NPI 1922843713 · live from the CMS NPI Registry
Juniper Sarah Anzivino, LMT
Massage Therapist in Denham Springs, LA. National Provider Identifier 1922843713, active.
NPI record
| NPI | 1922843713 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1234 Del Este Ave Bldg 3, Denham Springs, LA 70726 |
| Practice phone | 225-243-4667 |
| Mailing address | 16038 Alford Dr, Greenwell Springs, LA 70739 |
| Enumerated | June 25, 2024 |
| Last updated | June 25, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | LA9933 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.