Lavaughna Bey

Individual provider Active NPI Massage Therapist · Williamstown, NJ

NPI 1497570352 · NPPES record last updated Nov 16, 2024

Key facts

NPI
1497570352
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
18KT01357500 (NJ)
Practice address
40 Broadlane Rd
Williamstown, NJ 08094-4068
Phone
(856) 906-0550
NPI assigned
Nov 16, 2024
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
18KT01357500NJMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT01357500 NJ Yes

Addresses

Primary practice location

40 Broadlane Rd
Williamstown, NJ 08094-4068

Mailing address

40 Broadlane Rd
Williamstown, NJ 08094-4068
Phone (856) 906-0550

Other providers in Williamstown, NJ

All providers in Williamstown, NJ · Massage Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.