Laurel Sydnie Allen

Individual provider Active NPI Massage Therapist · Lititz, PA

NPI 1780131425 · NPPES record last updated Sep 9, 2016

Key facts

NPI
1780131425
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MSG004278 (PA)
Practice address
690 Furnace Hills Pike
Lititz, PA 17543-8907
Phone
(717) 626-6288
NPI assigned
Sep 9, 2016
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
MSG004278PAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MSG004278 PA Yes

Addresses

Primary practice location

690 Furnace Hills Pike
Lititz, PA 17543-8907

Mailing address

48 United Zion Cir
Lititz, PA 17543-7956
Phone (717) 553-3464

Other providers in Lititz, PA

All providers in Lititz, PA · Massage Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.