Luke Alphonso
Individual provider Active NPI Massage Therapist · Leesville, LA
NPI 1154910024 · NPPES record last updated Jan 14, 2021
Key facts
- NPI
- 1154910024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- LAMT6960 (LA)
- Practice address
- 1108 Port Arthur Ter
Leesville, LA 71446-4600 - Phone
- (337) 377-0477
- Fax
- (337) 239-1062
- NPI assigned
- Jan 14, 2021
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| LAMT6960 | LA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | LAMT6960 | LA | Yes |
Addresses
Primary practice location
1108 Port Arthur Ter
Leesville, LA 71446-4600
Mailing address
1108 Port Arthur Ter
Leesville, LA 71446-4600
Phone (337) 377-0477
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All providers in Leesville, LA · Massage Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2021. 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.