Sean McDaniel, LMT

Individual provider Active NPI Massage Therapist · Lafayette, LA

NPI 1013750280 · NPPES record last updated Jun 17, 2024

Key facts

NPI
1013750280
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
LA8681 (LA)
Practice address
850 Kaliste Saloom Rd Ste 105
Lafayette, LA 70508-4230
Phone
(337) 600-2737
NPI assigned
Jun 17, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LA8681LAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X LA8681 LA Yes

Addresses

Primary practice location

850 Kaliste Saloom Rd Ste 105
Lafayette, LA 70508-4230

Mailing address

8037 Maison Rd
Kaplan, LA 70548-7202
Phone (337) 600-2737

Other providers in Lafayette, LA

All providers in Lafayette, LA · Massage Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.