Individual provider · Type 1 NPI
Lora A. Fuller, LPN, LMT
Massage Therapist · Peosta, IA
NPI number
1649654096
Active
Practice location
15358 Briarwood Dr
Peosta, IA 52068-9755
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | P48266 (IA) |
| Massage Therapist Primary | 225700000X | 006722 (IA) |
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 1649654096
Lora A. Fuller, LPN, LMT's National Provider Identifier is 1649654096, issued on Jul 16, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Peosta, IA. The record was last updated on Jul 16, 2015.