Individual provider · Type 1 NPI

Lakisha Formica, LMT

Massage Therapist · Youngsville, LA

NPI number 1861319147 Active

Practice location

200 Prescott Blvd Unit 201
Youngsville, LA 70592-7044

Call (240) 479-8860 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLA10159 (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 1861319147

Lakisha Formica, LMT's National Provider Identifier is 1861319147, issued on Jun 30, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Youngsville, LA. The record was last updated on Jun 30, 2026.