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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DARIC DESHAWN BASS SR., LMT, CPT, CES.

Active Sole Proprietor

MR. DARIC DESHAWN BASS SR., LMT, CPT, CES. is a Massage Therapist healthcare provider located in 126 BELLEAUWOOD CIRCLE, BELLE CHASSE, LA, Louisiana. NPI 1376137018 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · 126 BELLEAUWOOD CIRCLE, BELLE CHASSE, LA, LA

Registration Details

NPI Number
1376137018
Provider Type
Individual
Gender
Male
NPI Issued
Feb 23, 2021 (5.4922080269541 yrs)
Last Updated
Feb 23, 2021
License
LA7594 (LA)
Sole Proprietor
Yes

Practice Information

Address
126 BELLEAUWOOD CIRCLE
126 BELLEAUWOOD CIRCLE, BELLE CHASSE, LA, LA, 70037
Browse LA providers · Browse ZIP 70037
Phone
5042289137
Primary Specialty
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.