PERRY LEE LAKE LMT/CMT
NPI 1790443398
Massage Therapist in San Angelo, TX

Q: What is Perry Lake's NPI number?

The NPI number for Perry Lake is 1790443398. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Q: What is Perry Lake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Perry Lake was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 01, 2021

1101 S DAVID ST, SAN ANGELO, TX 76903(208) 241-1632 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Perry Lee Lake Lmt/cmt NPPES

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

PERRY LEE LAKE LMT/CMT (NPI 1790443398) is an individual massage therapist in San Angelo, Texas, licensed in Texas (MT107775) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1790443398

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NamePERRY LEE LAKECredential: LMT/CMT

Location Address1101 S DAVID STSan Angelo, TX 76903-7249

Mailing Address1101 S David StSan Angelo, TX 76903-7249 · (208) 241-1632

Phone(208) 241-1632

Sole ProprietorYes

Enumeration DateDecember 1, 2021

NPPES CertifiedDecember 1, 2021

✔ NPI 1790443398 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

Licenses✔ Licensed in TX · MT107775✔ Licensed in UT · 6711070-4701✔ Licensed in ID · MAS-3291

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.

1101 S DAVID ST, San Angelo, TX 76903

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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 Perry Lake's NPI number?

The NPI number for Perry Lake is 1790443398. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Where is Perry Lake located?

Perry Lake practices at 1101 S David St, San Angelo, TX 76903. The listed phone number is (208) 241-1632.

What is Perry Lake'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 Perry Lake was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.