MEDICARE: CHYANN KRISTEN LARA

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	13369	NV

General Provider Information

NPI Number	:	1275479057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHYANN KRISTEN LARA

Provider Business Mailing Address
First Line	:	6453 CASADA WAY APT 40
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-3554
Country	:	US
Telephone Number	:	712-831-3624
Fax Number	:

Provider Business Practice Location Address
First Line	:	6453 CASADA WAY APT 40
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-3554
Country	:	US
Telephone Number	:	712-831-3624
Fax Number	:

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

Provider Enumeration Date	:	04/25/2026
Last Update Date	:	04/25/2026

Similar Medicare Providers

1811268857 — KEYONNA DENISE LAWRENCE
Practice Location Address:

1600 E SAINT LOUIS AVE
LAS VEGAS, NV
89104-3554

Practice Phone: 702-980-1975
Practice Fax: 702-980-1975

1750632899 — MRS. NEBBELA KARIM ZGHAIB
Practice Location Address:

3554 GREAT BEAR ST
LAS VEGAS, NV
89147-7721

Practice Phone: 702-217-1158
Practice Fax:

1093205361 — RESPECT LOVE & DEDICATION 2 LLCDE
Practice Location Address:

1600 E SAINT LOUIS AVE
LAS VEGAS, NV
89104-3554

Practice Phone: 702-980-6159
Practice Fax:

1013654383 — RONALD JOHNSON
Practice Location Address:

4064 BLUE WILDRYE ST
LAS VEGAS, NV
89122-3554

Practice Phone: 951-346-8722
Practice Fax:

1427804459 — MISS ANGELINA ABOU SHACKR ALJOT
Practice Location Address:

3554 GREAT BEAR ST
LAS VEGAS, NV
89147-7721

Practice Phone: 725-300-5059
Practice Fax:

1508690611 — BETHANY EARL PHD
Practice Location Address:

3554 EL CAMINO RD
LAS VEGAS, NV
89103-1107

Practice Phone: 760-362-3543
Practice Fax:

Directions to “ CHYANN KRISTEN LARA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.