MEDICARE: SIMONE MAYA JOSEPH 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	LA10277	LA

General Provider Information

NPI Number	:	1154210920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMONE MAYA JOSEPH LMT

Provider Business Mailing Address
First Line	:	6123 BIENVENUE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-2103
Country	:	US
Telephone Number	:	323-547-0285
Fax Number	:

Provider Business Practice Location Address
First Line	:	6123 BIENVENUE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-2103
Country	:	US
Telephone Number	:	323-547-0285
Fax Number	:

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

Provider Enumeration Date	:	06/28/2025
Last Update Date	:	06/28/2025

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Directions to “ SIMONE MAYA JOSEPH LMT” Practice Location

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