MEDICARE: SARAH GRACE ORY LMT

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	LA10239	LA

General Provider Information

NPI Number	:	1063339273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH GRACE ORY LMT

Provider Business Mailing Address
First Line	:	103 CHARLES DR
Second Line	:
City	:	SLIDELL
State	:	LA
Zip	:	70460-8462
Country	:	US
Telephone Number	:	985-707-8325
Fax Number	:

Provider Business Practice Location Address
First Line	:	113 CHRISTIAN LN
Second Line	:
City	:	SLIDELL
State	:	LA
Zip	:	70458-1350
Country	:	US
Telephone Number	:	985-257-4090
Fax Number	:

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

Provider Enumeration Date	:	06/30/2026
Last Update Date	:	06/30/2026

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Directions to “ SARAH GRACE ORY LMT” Practice Location

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