Kristen M Behar Allen, LICENCED MASSAGE

Individual provider Active NPI Massage Therapist · Deridder, LA

NPI 1104617034 · NPPES record last updated May 12, 2025

Key facts

NPI
1104617034
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
LA10088 (LA)
Practice address
418 W 1St St
Deridder, LA 70634-3863
Phone
(940) 218-3134
NPI assigned
May 12, 2025
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
LA10088LAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225700000X LA10088 LA Yes

Addresses

Primary practice location

418 W 1St St
Deridder, LA 70634-3863

Mailing address

PO Box 275
Rosepine, LA 70659-0275
Phone (940) 218-3134

Other providers in Deridder, LA

All providers in Deridder, LA · Massage Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.