MEDICARE: MS. LINDA KAY DROKER 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	54512	CA

General Provider Information

NPI Number	:	1205581048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA KAY DROKER LMT

Provider Business Mailing Address
First Line	:	3606 VISTA REY UNIT 50
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92057-7022
Country	:	US
Telephone Number	:	714-264-4868
Fax Number	:

Provider Business Practice Location Address
First Line	:	1830 HACIENDA DR STE 2
Second Line	:
City	:	VISTA
State	:	CA
Zip	:	92081-4544
Country	:	US
Telephone Number	:	760-941-8600
Fax Number	:

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

Provider Enumeration Date	:	02/21/2022
Last Update Date	:	02/21/2022

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