MEDICARE: MYRA MARIE ISTRE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	LA8436	LA

General Provider Information

NPI Number	:	1033057625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYRA MARIE ISTRE

Provider Business Mailing Address
First Line	:	2443 RICE CAPITAL PKWY STE D
Second Line	:
City	:	CROWLEY
State	:	LA
Zip	:	70526-3183
Country	:	US
Telephone Number	:	337-327-8820
Fax Number	:	337-327-8821

Provider Business Practice Location Address
First Line	:	2443 RICE CAPITAL PKWY STE D
Second Line	:
City	:	CROWLEY
State	:	LA
Zip	:	70526-3183
Country	:	US
Telephone Number	:	337-327-8820
Fax Number	:	337-327-8821

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ MYRA MARIE ISTRE ” Practice Location

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