MS. LORA A FULLER LPN, LMT
NPI 1649654096
Massage Therapist in Peosta, IA
- Individual
- Female
- Massage Therapist
About LORA FULLER
This page provides the complete NPI Profile along with additional information for Lora Fuller, a provider established in Peosta, Iowa with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1649654096 assigned on July 2015. The practitioner's primary taxonomy code is 225700000X with license number 006722 (IA). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1649654096 Verify this NPI
- Provider Name
- MS. LORA A FULLER LPN, LMT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 15358 BRIARWOOD DR PEOSTA, IA 52068
- Location Phone
- (563) 599-6536
- Mailing Address
- 15358 BRIARWOOD DR PEOSTA, IA 52068
- Mailing Phone
- (563) 599-6536
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-16-2015
- Last Update Date
- 07-16-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 006722
- License State
- IA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 164W00000X | Nursing Service Providers | Licensed Practical Nurse | P48266 (IA) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649654096, enumerated as an "individual" on July 16, 2015.
The provider is located at 15358 BRIARWOOD DR PEOSTA, IA 52068 and the phone number is (563) 599-6536.
Massage Therapist with taxonomy code 225700000X.