Lashelle Caban, LMT
Individual provider Active NPI Massage Therapist · Selden, NY
NPI 1104270941 · NPPES record last updated Sep 17, 2016
Key facts
- NPI
- 1104270941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 028743 (NY)
- Practice address
- 910 Middle Country Rd
Selden, NY 11784-2541 - Phone
- (631) 379-4062
- NPI assigned
- Apr 18, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 028743 | NY | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 028743 | NY | Yes |
Addresses
Primary practice location
910 Middle Country Rd
Selden, NY 11784-2541
Mailing address
910 Middle Country Rd
Selden, NY 11784-2541
Phone (631) 379-4062
Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.