MEDICARE: TASHA BRUER

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	96816	CA

General Provider Information

NPI Number	:	1255153987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TASHA BRUER

Provider Business Mailing Address
First Line	:	10008 NATIONAL BLVD # 254
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-3809
Country	:	US
Telephone Number	:	818-457-8634
Fax Number	:

Provider Business Practice Location Address
First Line	:	5444 YOLANDA AVE STE 107
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-6305
Country	:	US
Telephone Number	:	805-410-1344
Fax Number	:

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

Provider Enumeration Date	:	10/24/2024
Last Update Date	:	01/21/2026

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Directions to “ TASHA BRUER ” Practice Location

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