Healthcare Provider Details

I. General information

NPI: 1427989391
Provider Name (Legal Business Name): LAURYNN ESTES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 MONSERATE AVE
CHULA VISTA CA
91911-4501
US

IV. Provider business mailing address

2329 EDENBORN AVE
METAIRIE LA
70001-1815
US

V. Phone/Fax

Practice location:
  • Phone: 512-547-1220
  • Fax: 888-830-8403
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number95850
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: