Lakeisha Cravin, LMT

Individual provider Active NPI Massage Therapist · Luling, LA

NPI 1023622263 · NPPES record last updated Sep 4, 2020

Key facts

NPI
1023622263
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
LA-8227 (LA)
Practice address
13755 River Rd Ste C
Luling, LA 70070-4377
Phone
(504) 571-9990
NPI assigned
Sep 4, 2020
Sex
Female
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
LA-8227LAMDMassage Therapist
LA8227LAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X LA8227 LA
Massage Therapist 225700000X LA-8227 LA Yes

Addresses

Primary practice location

13755 River Rd Ste C
Luling, LA 70070-4377

Mailing address

PO Box 107
Ama, LA 70031-0107
Phone (504) 571-9990

Other providers in Luling, LA

All providers in Luling, LA · Massage Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.