Lara Nicole Berthiaume
Massage Therapist
126 Stillings Ave
San Francisco
, California 94131-2824
Lara Nicole Berthiaume
Massage Therapist
126 Stillings Ave
San Francisco
, California 94131-2824
(831) 246-1367
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Lara Nicole Berthiaume
- 126 Stillings Ave
- San Francisco, CA
- Zip : 94131-2824
- Phone : (831) 246-1367
Second Address
- Lara Nicole Berthiaume
- 126 Stillings Ave
- San Francisco, CA
- Zip : 94131-2824
- Phone : (831) 246-1367
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 26275 | CA |
National Provider Identifier
| NPI | 1003581497 |
|---|---|
| Provider Name | Lara Nicole Berthiaume |
| First Address | San Francisco, CA 94131-2824 |
| Second Address | San Francisco, CA 94131-2824 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2021 |
| Last Update Date | 09/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.