MEDICARE: LINDA MARIE SWEET C.N., C.M.T

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	28229	CA

General Provider Information

NPI Number	:	1902544331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA MARIE SWEET C.N., C.M.T

Provider Business Mailing Address
First Line	:	5652 VINELAND AVE STE 201
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-2062
Country	:	US
Telephone Number	:	818-473-5624
Fax Number	:

Provider Business Practice Location Address
First Line	:	5652 VINELAND AVE STE 201
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-2062
Country	:	US
Telephone Number	:	818-473-5624
Fax Number	:

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

Provider Enumeration Date	:	05/25/2022
Last Update Date	:	05/25/2022

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