Individual provider · Type 1 NPI

Lacey Laverne Farah, ANMT

Massage Therapist · Pinole, CA

NPI number 1902413685 Active

Practice location

400 Summit Dr
Pinole, CA 94564-1625

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X43394 (CA)

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 1902413685

Lacey Laverne Farah, ANMT's National Provider Identifier is 1902413685, issued on Sep 28, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pinole, CA. The record was last updated on Sep 24, 2024.