Individual provider · Type 1 NPI
Daric Deshawn Bass Sr., LMT, CPT, CES.
Massage Therapist · 126 Belleauwood Circle, Belle Chasse, La, LA
NPI number
1376137018
Active
Practice location
126 Belleauwood Circle
126 Belleauwood Circle, Belle Chasse, La, LA 70037
Mailing address
671 Rosa Ave Ste 211
Metairie, LA 70005-2831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | LA7594 (LA) |
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.
About NPI 1376137018
Daric Deshawn Bass Sr., LMT, CPT, CES.'s National Provider Identifier is 1376137018, issued on Feb 23, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in 126 Belleauwood Circle, Belle Chasse, La, LA. The record was last updated on Feb 23, 2021.