Individual provider · Type 1 NPI

Perry Lee Lake, LMT/CMT

Massage Therapist · San Angelo, TX

NPI number 1790443398 Active

Practice location

1101 S David St
San Angelo, TX 76903-7249

Call (208) 241-1632 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X6711070-4701 (UT)
Massage Therapist 225700000XMAS-3291 (ID)
Massage Therapist Primary 225700000XMT107775 (TX)

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 1790443398

Perry Lee Lake, LMT/CMT's National Provider Identifier is 1790443398, issued on Dec 1, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Angelo, TX. The record was last updated on Dec 1, 2021.