MEDICARE: MAUREEN DRAKE 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	NVMT.13471	NV

General Provider Information

NPI Number	:	1063362945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN DRAKE LMT

Provider Business Mailing Address
First Line	:	770 W LONE MOUNTAIN RD APT 2040
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3019
Country	:	US
Telephone Number	:	410-493-7930
Fax Number	:

Provider Business Practice Location Address
First Line	:	770 W LONE MOUNTAIN RD APT 2040
Second Line	:	2040
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3019
Country	:	US
Telephone Number	:	410-493-7930
Fax Number	:

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

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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