Deanna Lala, LMT

Individual provider Active NPI Massage Therapist · Mount Vernon, IA

NPI 1346866258 · NPPES record last updated Jun 17, 2020

Key facts

NPI
1346866258
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
084046 (IA)
Practice address
300 Virgil Ave
Mount Vernon, IA 52314-9569
Phone
(319) 895-8655
Fax
(319) 895-8651
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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
084046IAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Physical Therapy, P.C. Current
since Jun 21, 2020
Accepting new patients

Locations

300 Virgil Ave
Mount Vernon, IA 52314
Phone (319) 865-8655

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 084046 IA Yes

Addresses

Primary practice location

300 Virgil Ave
Mount Vernon, IA 52314-9569

Mailing address

300 Virgil Ave
Mount Vernon, IA 52314-9569
Phone (319) 895-8655

Other providers in Mount Vernon, IA

All providers in Mount Vernon, IA · Massage Therapist in Iowa

Sources for this page

Verify at the official NPI Registry.