Lanette Marie Langlois Libby, LMT

Individual provider Active NPI Massage Therapist · Chocorua, NH

NPI 1497428866 · NPPES record last updated Jul 30, 2021

Key facts

NPI
1497428866
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
2705 (NH)
Practice address
79 Deer Hill Rd
Chocorua, NH 03817-4640
Phone
(603) 651-7750
NPI assigned
Jul 30, 2021
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
2705NHMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225700000X 2705 NH Yes

Addresses

Primary practice location

79 Deer Hill Rd
Chocorua, NH 03817-4640

Mailing address

79 Deer Hill Rd
Chocorua, NH 03817-4640
Phone (603) 651-7750

Other providers in Chocorua, NH

All providers in Chocorua, NH · Massage Therapist in New Hampshire

Sources for this page

Verify at the official NPI Registry.