NPI 1003581497

Lara Nicole Berthiaume, MASSAGETHERAPIST

Practitioner Massage Therapist San Francisco, CA

Practice location

Address: 126 Stillings Ave, San Francisco, CA 94131-2824
Phone: (831) 246-1367

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 26275 (CA)

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Registry record

NPI: 1003581497
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2021
Record last updated: 9 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.