Lakysha Barbour

Individual provider Active NPI Massage Therapist · Norfolk, VA

NPI 1497464788 · NPPES record last updated Nov 16, 2022

Key facts

NPI
1497464788
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
001901813 (VA)
Practice address
3751 Nansemond Cir
Norfolk, VA 23513-5313
Phone
(757) 281-8115
NPI assigned
Nov 16, 2022
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
MSG014825PAMDMassage Therapist
001901813VAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 001901813 VA Yes
Massage Therapist 225700000X MSG014825 PA

Addresses

Primary practice location

3751 Nansemond Cir
Norfolk, VA 23513-5313

Mailing address

3751 Nansemond Cir
Norfolk, VA 23513-5313
Phone (757) 281-8115

Other providers in Norfolk, VA

All providers in Norfolk, VA · Massage Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.