Individual provider · Type 1 NPI

Dominique Richardson, LMT

Massage Therapist · Monroe, LA

NPI number 1487460465 Active

Practice location

1400 Royal Ave
Monroe, LA 71201-5608

Call (318) 323-7246 Map

Fax (318) 323-7265

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLA9190 (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.

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About NPI 1487460465

Dominique Richardson, LMT's National Provider Identifier is 1487460465, issued on Dec 5, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Monroe, LA. The record was last updated on Dec 5, 2024.