Dominique Richardson, LMT
Massage Therapist in Monroe, LA. Individual provider (NPI-1).
NPI number1487460465
StatusActive
Last updated in NPPESDec 5, 2024
Details
- NPI
- 1487460465
- Entity type
- Individual (NPI-1)
- Name
- Ms. Dominique Richardson
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 5, 2024
- Certification date
- Dec 5, 2024
- Last updated
- Dec 5, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | LA9190 | LA | Yes |
Practice location
1400 Royal AveMonroe, LA 71201-5608
Phone 318-323-7246 · Fax 318-323-7265
Mailing address
1400 Royal AveMonroe, LA 71201-5608
Phone 318-323-7246
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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