Individual provider · Type 1 NPI
Larry D. Rogers Jr.
Massage Therapist · West Hollywood, CA
NPI number
1053180984
Active
Practice location
1204 N Formosa Ave Apt D
West Hollywood, CA 90046-6185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 67091 (CA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1053180984
Larry D. Rogers Jr.'s National Provider Identifier is 1053180984, issued on Dec 20, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in West Hollywood, CA. The record was last updated on Dec 20, 2023.