TANYA LISA FREDERICK LMT
NPI 1396591814
Massage Therapist in Loma Linda, CA

Active since April 25, 2024
25040 STEWART ST, LOMA LINDA, CA 92350(909) 206-9191 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tanya Lisa Frederick Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANYA LISA FREDERICK LMT (NPI 1396591814) is an individual massage therapist in Loma Linda, California, licensed in California (43612) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1396591814
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameTANYA LISA FREDERICKCredential: LMT
Location Address25040 STEWART STLoma Linda, CA 92350-1723
Mailing AddressP.o. Box 1073Loma Linda, CA 92354 · (909) 206-9191
Sole ProprietorNo
Enumeration DateApril 25, 2024
NPPES CertifiedApril 25, 2024
NPI 1396591814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in CA · 43612
Definition
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.
25040 STEWART ST, Loma Linda, CA 92350

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
25040 STEWART ST
LOMA LINDA, CA 92350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanya Frederick's NPI number?

The NPI number for Tanya Frederick is 1396591814. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Tanya Frederick located?

Tanya Frederick practices at 25040 Stewart St, Loma Linda, CA 92350. The listed phone number is (909) 206-9191.

What is Tanya Frederick's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Tanya Frederick was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.