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NPI Code Detail

MEDICARE: MISS ISABELLE DONOVAN ROSSI LMT

MEDICARE: MISS ISABELLE DONOVAN ROSSI 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
1225700000XMassage Therapist8696LA

General Provider Information

NPI Number : 1558120808
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ISABELLE DONOVAN ROSSI LMT
Provider Business Mailing Address
First Line : 6509 SPANISH FORT BLVD
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70124-4321
Country : US
Telephone Number : 504-571-5355
Fax Number :
Provider Business Practice Location Address
First Line : 6509 SPANISH FORT BLVD
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70124-4321
Country : US
Telephone Number : 504-571-5355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2024
Last Update Date : 03/18/2024

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Directions to “ MISS ISABELLE DONOVAN ROSSI LMT” Practice Location

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