Alicia Evans, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LA9734 Issued in LA

Practice address

309 N 5TH St
Leesville, LA 71446-4029

Phone

(337) 423-5225

NPI assigned

May 28, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Perfectly Polished Day Spa and Salon

  • Massage Therapist
  • Leesville, LA
  • NPI 1710577119
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1235979428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N 5TH ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464029",
            "telephone_number": "337-423-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N 5TH ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464029",
            "telephone_number": "337-423-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ALICIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "LA9734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam C. Ebarb, LMSW-MHP
• Elite Anesthesia Providers, LLC
• Alivia Faith Ellzey
• Jaime Erwin, RN
• Callee Eschete
• Evergreen Presbyterian Ministries, Inc.
• Evergreen Presbyterian Ministries, Inc.
• Ashley Nichole Fargo
• Robert Flowers
• Crystal Ford

• Massage Therapist in Leesville, LA
• Providers in Leesville, LA by specialty
• Massage Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.